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Wiki Medicare Pt. Office Visit prior to colonoscopy

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toots9798@hotmail.com

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I have a physician who saw a patient in clinic today prior to her being scheduled for a colonoscopy. Patient has a history of PE and is on anticoag therapy. He is doing a lovanox bridge with this patient, and took a great amount of time with her to explain all of this. Can he bill the office visit for this using a "z code" or do I have to just adjust off the charges? Its my understanding that with Iowa Medicare you are not allowed to bill an office visit to an asymptomatic patient prior to colonoscopy... Help Please...
 
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