Wiki Coding question-pure screening tests

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boozaarn

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Hi
I have 2 questions

1. Screening the scope couldn't pass the splenic flexture
I know that a sigmoidoscopy s/b coded but should I code it as G0104 or the regular cpt?

2. Screen the scope didn't pass the hepatic flexure and barium enema was done
Hoe to charge for both if this is pure screening tests?

Both cases mention a redundant colon only.
Please pay attention to splenic vs hepatic flexure

Thanks
IZ
 
It doesn't matter if it is the splenic or the hepatic flexure, as both are considered incomplete now. You do not automatically code a flexible sigmoidoscopy either. Some Medicare carriers specifically do not want a flex sig billed. They have instructed to bill an incomplete colonoscopy.

In both cases, you need to bill an incomplete colonoscopy, using a modifier of 52 or 53 (if you are doing professional billing and not facility billing.)
 
I agree!!

I agree with Pamsbill post. Code the procedure with the correct modifier i.e. 53 accordingly, also look at the Colonoscopy tree in your 2015/2016 CPT book. It really helps!!
 
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