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g0121

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    Wiki Modifier PT with 53

    Hello! I am newer to billing for Gastroenterology and I need some help! :) Patient was seen for a colon screen- few small mouthed diverticula were found in sigmoid colon also large amount of stool causing DR to abort. Claim was originally billed as 45380 PT 53. Medicare denied for invalid...
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    Wiki Screening Colonoscopy and Anestheisia

    Screening Colonoscopy and Anesthesia If a patient is having a screening colonoscopy G0121, G0105, or 45378-33. Lets say a non-medicare patient was coded with a G0121 and DX Z12.11. G0121 is accepted by most commercial insurance companies so this should be fine. When its time to bill...
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    Wiki Modifier 73 - screening colonoscopy

    For the facility side, if a Medicare patient presented for a screening colonoscopy which was terminated prior to sedation, would you code 45378-73 or G0121-73? I am sure for other than Medicare it would be the former, but not sure what to do for this Medicare patient. TIA Richard
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