My provider completed a colonoscopy on a patient with an indication to return in two weeks for another colonoscopy. I flagged my provider concerned that the patient's insurance (Medicare) will not cover a second procedure so soon. My provider is stating that it is medically necessary. I have coded the first procedure as 45378 with K55.9 (large bowel ischemia) and K52.9 (colitis) as the diagnosis. Any tips on getting the second colonoscopy covered? I was wondering about modifier 76?
Thank you!
Thank you!