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Wiki Colonoscopy Screening turned Sigmoidoscopy

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mikaylalynn9127

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I just have a question on the modifier usage. A normal colonoscopy screening would get a 33 mod, but when the scope only advances to the sigmoid, we would bill a sigmoidoscopy. Do you all still append modifier 33 or are you removing it and leaving the Z12.11 diagnosis to give the hint to payors that it was meant to be a screening? I feel like I've done it both ways unintentionally and would like to make sure I am billing out correctly.

Thank you for your help!
 
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