Outpatient Facility Coding Alert
Know the Limitations of Colonoscopy Coding
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Question: What are the conditions when colonoscopy cannot be billed separately?
New Jersey Subscriber
Answer: Yes, there are conditions when a gastroenterologist performs colonoscopy but the service will not be covered. You should have additional documentation that indicates the medical necessity of the procedure when you submit your records for review by the payer.
According to medical experts, a few of these conditions include:
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