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Wiki Anesthesia for Screening Colonoscopy after a Positive FOB

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missyah20

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Hey All -

I see that CMS has posted guidance stating that a KX modifier should be appended to the screening colonoscopy code to indicate such service was performed as a followup to a positive stool based test.

It doesn't specifically state it should be applied to the anesthesia code as well, but are others applying the KX to the anesthesia claim?

I don't see any guidance for diagnosis coding here either - Are you billing a Z12.11, Z86.010, etc before the R19.5 or just the R19.5 in this scenario?

Thanks!
 
roxannel said:
We use the R19.5 and the Z86.010, if appropriate. And we don't append the KX modifier for our anesthesia claim. Interested to hear what others do!
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I did submit a question to one of the CMS local contractors and received a call back. She stated the KX modifier is not needed on anesthesia claims.
 
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