svjai1116
New
I'm receiving contradictory guidance on which modifier to use when a gastroenterologist does an incomplete colonoscopy. Should I use modifier 52 or 53?
Chart details :
He was brought into the endoscopy suite and placed on the stretcher in the left lateral decubitus position. He had taken an outpatient bowel prep of nulytely the day prior. Under continuos EKG, blood, and pulse oximetry monitoring, he was given intravenous general by our Anesthesiology dept.
Rectal exam was preformed and demonstreted large external hemorrhoids, tight sphincter tone, no palpable masses, no fissures, no fistulas. The videoendoscope was passed per anus into the rectum slowly traversing the rectum into the sigmoid colon. There did appear to be a small polyp and then immedeately after this was a large mass. This was an obstructing mass that did not permit the pediatric scope to pass through and because of this, I was unable to see the remaining portion of the colon. Multible biopsies were obtained and i sent them for frozen section. The procedure was terminated and the patient was taken to the recovery room in satisfactory condition and surgery would be planned for the very near future.
Please let me know the correct one...
Thanks
Jayamuruhan
Chart details :
He was brought into the endoscopy suite and placed on the stretcher in the left lateral decubitus position. He had taken an outpatient bowel prep of nulytely the day prior. Under continuos EKG, blood, and pulse oximetry monitoring, he was given intravenous general by our Anesthesiology dept.
Rectal exam was preformed and demonstreted large external hemorrhoids, tight sphincter tone, no palpable masses, no fissures, no fistulas. The videoendoscope was passed per anus into the rectum slowly traversing the rectum into the sigmoid colon. There did appear to be a small polyp and then immedeately after this was a large mass. This was an obstructing mass that did not permit the pediatric scope to pass through and because of this, I was unable to see the remaining portion of the colon. Multible biopsies were obtained and i sent them for frozen section. The procedure was terminated and the patient was taken to the recovery room in satisfactory condition and surgery would be planned for the very near future.
Please let me know the correct one...
Thanks
Jayamuruhan