In CMS
Jan 24th, 2018
When reporting anesthesia for a screening colonoscopy, the appropriate code is 00812 Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy. When reporting 00812 for a Medicare beneficiary, Medicare will waive the deductible and coinsurance, for the patient. On occasion, a service that begins as a screening colonoscopy will reveal the ...
In CMS
Jan 24th, 2018
The Centers for Medicare & Medicaid Services (CMS) no longer requires use of dedicated G codes when reporting breast imaging services for Medicare beneficiaries, per MLN Matters Number: MM10181. In 2017, the CPT® codebook deleted breast imaging codes 77051-77057 and replaced them with three new codes: 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; ...
In CMS
Jul 31st, 2017
The Centers for Medicare & Medicaid Services (CMS) pays 100 percent of the Medicare-approved amount for fecal occult blood tests, flexible sigmoidoscopies, colonoscopies, and multi-target stool DNA tests, and 80 percent for barium enemas. A Part B deductible does not apply, in any case; however, coinsurance applies to colonoscopies and sigmoidoscopies performed in ambulatory surgical ...
In CMS
May 5th, 2017
For Medicare beneficiaries in the office setting, if a provider preps a patient for a screening colonoscopy but cannot advance the scope past the splenic flexure due to obstruction, patient discomfort, or other complications, append modifier 53 Discontinued services to the appropriate code, per CMS Program Memorandum Transmittal AB-03-114, Change Request 2822. The Transmittal stresses, ...
In CMS
Sep 20th, 2016
by John Verhovshek, CPC, and Renee Dustman Reflecting United States Preventive Services Task Force (USPSTF) 2008 recommendations (2015 recommendations are in progress), Medicare Part B covers 100 percent of the Medicare-approved amount for fecal occult blood tests, flexible sigmoidoscopies, colonoscopies, and multi-target stool DNA tests, and 80 percent for barium enemas for colorectal cancer scr...