In Billing
Jan 7th, 2016
The Centers for Medicare & Medicaid Services (CMS) has established new values for incomplete diagnostic and screening colonoscopies performed on or after January 1, 2016. Why the Change? Prior to 2015, CPT® defined “incomplete colonoscopy” as a colonoscopy that did not evaluate the colon past the splenic flexure (the distal third of the colon). And ...
Mar 1st, 2013
By Anna Barnes, CPC, CEMC, CGSCS Consider patient history and reason for the visit for accurate diagnosis coding. The advent of the Affordable Care Act (ACA) has increased patient access to a greater number of preventative services. Physicians and patients have both benefited from this new law. Patient disease processes are being diagnosed at an ...
Oct 1st, 2012
By Sarah W. Sebikari, MHA, CPC Colorectal cancer is the second leading cause of death in the United States. According to the American Cancer Society, if all adults 50 and older were screened for colon cancer, we could cut the death rate from this disease in half, saving approximately 25,000 lives each year. Colonoscopy is ...
May 1st, 2012
Weed through the guidance to properly append this commonly confused modifier. By G.J. Verhovshek, MA, CPC, and Rita Von Holtum, CPC-H Nearly 18 months since its introduction at the American Medical Association’s (AMA’s) 2010 CPT® Symposium, modifier 33 Preventive service continues to cause confusion. Here, we review eight quick tips that teach you when and ...
In Coding
Jan 30th, 2009
Colonoscopy codes in CPT® 2009 all include moderate sedation, but a recent trend in the United States may be an indicator of things to come. Will the drive to lower health care spending be the impetus providers need to perform colonoscopies on patients without sedation? Study Supports Colonoscopy without Sedation was last modified: July 5th, ...