• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Incomplete Colonoscopies

ENDOCODER

Networker
Messages
44
Location
Sterling Heights, MI
Best answers
0
I bill for a freestanding ASC and was wondering if anyone is having trouble billing for incomplete colons for Medicare Plus Blue/ Mr Advantage insurance? We bill the same as a straight Medicare patient, using a 74 Modifier for the incomplete. We will get paid for the 1st colon but when patient returns the next day we get a denial for "number of visits exceeds max" on the completed colon. This has never been a problem before but for the past year they have denied the 2nd colon.
Anyone else having an issue like this? Any help would be appreciated
 
Top