Wiki Anesthesia 00813 or 00731 with 00812?

[beachgrl62]

I am curious what the correct reporting would be when a patient comes in for a screening colonoscopy and also has a EGD at the same time? Would we use the combo code with the Z12.11 primary? Or would we use the two separate codes 00731 and 00812? I have searched and searched for this with no luck. Thanks!

 

[kboyd22]

EGD and Colonoscopy

You will actually use 00813 for the anesthesia.

 

[Somit]

modifier PT or 33 with 813

Hi
I have a query ;

Would be grateful if anyone can tell if mod 33 would be used when we have only one DX (Screening) for the Colonoscopy and other dx ( findings) are related to upper GI Endoscopy(eg k44.9, and k29.70) then should we use “PT” or 33 modifier here? Please see below case and advise. However, colonoscopy is done only for screening and without any findings.The insurance is commercial

For commercial insurance ,as per rule in 2017 ; commercial payors did not recognise PT so we had to use mod 33.

Thanks

 

[alknud12]

As we (a small group of us) understand it, we are no longer to use the -33 modifier. And with Medicare the -PT is only acceptable on the 00811 code. They've been denied for the 00812 and 00813.