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Wiki Modifier 52

KoBee

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this is a hot topic as well that gets confusing using modifier 52, some say No since it reaches the cecum, regardless of poor prep and to come back sooner. Help!


Complete colonoscopy to cecum, poor prep, becomes diagnostic only, they just found (hemorrhoids/diverticulosis), to come back sooner than usual timeframe for another colonoscopy (6-9months), do you add modifier 52?

Complete colonoscopy to cecum, poor prep, becomes therapeutic only (polyp removal) to come back sooner than usual timeframe for another colonoscopy (a year), do you add modifier 52?
 
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