Gastroenterology Coding Alert

Case Study:

Tackle PEG Tube Co-Surgeon Challenges Using Modifier 62

Don't fall into the trap of always using modifier 80. When your gastroenterologist works with another doctor during a procedure, you could be in for major coding challenges. You will need to coordinate your coding with the other physician's coder. If you don't, both doctors could lose money and face audit scrutiny. Learn about how to correctly code for procedures shared by two physicians with this real-world case study. Review the Surgical Case Scenario: A gastroenterologist and a general surgeon performed surgery on a patient. Both physicians worked together on the same procedure. The gastroenterologist performed an endoscopy to locate the correct position along the stomach wall for placement of a percutaneous endoscopic gastrostomy (PEG) tube. The general surgeon made an incision at the same position into the wall of the stomach and used a retention disk to put the PEG tube in place and secure it. Both physicians are [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Gastroenterology Coding Alert

View All