• 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 Need help

Create Wiki
J

Jess1980

Networker
Messages
42
Location
Chattanooga, TN
Best answers
0
How would you code procedure proctosigmoidoscopy with endoscopic submucosal dissection? I am leaning towards unlisted procedure with modifier 22.
 
When you say sub mucosa dissection, was this performed for purposes of biopsy? How many specimens? Were the notes specific as to why the dissection was done. Therein lies your answer. You may need to get clarification from the provider.
 
This is for a precertification and they are trying to enter an order. They are looking for CPT codes to enter. We will not have any of that information until the procedure is done.
 
coderguru1980 said:
This is for a precertification and they are trying to enter an order. They are looking for CPT codes to enter. We will not have any of that information until the procedure is done.
Click to expand...

Good to know. Go ahead and get the precert using the unspecified code. It will be up to the provider to document the procedure after the fact.
 
You must log in or register to reply here.
Top