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Wiki History of Polyps / Modifiers

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rebelhotspur

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Galloway, NJ
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If Medicare and most commercial carriers consider History of Polyps as a screening, then should we be using PT/33 modifiers for those screening procedures that become therapeutic?

i.e. a Medicare or BCBS pt who had polyps several years ago in their first colonoscopy has a procedure today and they end removing a polyp for biopsy, do we bill 45385 (PT/33) Z86010, K635 ?
 
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