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Wiki 00813 / PT ??

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mdaubenspeck

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if a pt is having an EGD w BX for dysphagia and a screening colonoscopy turned BX .... Would you code 00813 PT ?
 
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Screening colonoscopy with EGD (Colonoscopy versus EGD CPT code) and 00813, Code Z12.11 (plus applicable comorbid condition) and 45378 / 00813 for screening only. OR if becomes diagnostic/therapeutic procedure use PT modifier and secondary codes for established definitive diagnosis.
 
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For 00813, we do not use a PT for a screening colonoscopy w/ a procedure w/ an EGD.

List Z12.11 first followed by the finding that necessitated the the procedure (ie, colon polyp), the diagnosis for the EGD, and a co-morbidity if one is provided. The co-morbidity will justify the use of anesthesia.

Example:
Patient has a screening with an EGD for dysphagia & a sigmoid polyp is biopsied. Patient also has COPD.

45380/00813
Z12.11, D12.5, R13.10, J44.9
 
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