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Opinions please on colonscopy follow up visits

A

AT2728

Expert
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325
Location
Perryville, MO
The general surgeon performed colonscopy and excision of thrombosed hemorrhoid. Colonoscopy carries no global period, however the hemorrhoid excision does. The physician has the patient come back in a week to follow up and discuss results. Would it be appropriate to bill an established level of care with modifier 24 for the discussion of colonscopy results/diagnosis and treatment (fiber)?

My surgeon is adamant that because he is addressing issues not related to the just the hemorrhoids, a level should be billed for-say-spastic redundant colon.
 
He is correct if the subject matter of the follow up visit is for other than the hemorrhoids, it's definitely billable as an established patient visit.
 
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