In Billing
Nov 13th, 2014
When dealing with Medicare patients, if the physician discovers a polyp during what begins as a screening colonoscopy, you should retain the initial V code (for instance, V76.51 Special screening for malignant neoplasms; colon) as the primary diagnosis. “Whether or not an abnormality is found, if a service to a Medicare beneficiary starts out as ...
Sort through the guidance to master use of modifiers PT and 33. By Anna Conlon Barnes, CPC, CEMC, CGSCS When it comes to colonoscopy coding, I keep Medicare rules clear of any commercial payer rules. In our coding department, any patient undergoing a colonoscopy for screening or surveillance with no current symptoms gets either modifier ...
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 ...
Aug 1st, 2011
Changes in coding guidelines will make documentation far more critical. By Essie White, CPC, CPC-H, CPC-I, CGSC, CPMA Those of us who have been around for decades have seen many changes in the medical profession. I remember working with the first CPT® book. Since then, the Centers for Medicare & Medicaid Services (CMS) has mandated ...