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Wiki Modifer 52 - A patient's procedure has been coded

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slimmagnum

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Good morning!

A patient's procedure has been coded with cpt#45378, modifier 52 with a dx of 787.91 for date of service 9/30/15. This is a medicare patient. Is modifier 52 appropriate to use? I am concerned since California Medicare uses the PT modifier on the first line item for colonoscopies. Any input would be greatly appreciated. Thanks!!
 
52 indicates reduced services. Was this less than a full colonoscopy?

If CA Medicaid (medicare is not state specific) wants a PT modifier in addition that should not be an issue to add PT to the first line item.
 
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