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Wiki Screening colonoscopy/modifier

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Westfield, MA
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Just looking for clarification on modifier 33 as I'm hearing and reading contradicting things.

If a patient [with commercial insurance] comes in for a screening/surveillance should modifier 33 be appended or no?

https://www.aapc.com/blog/84107-code-colonoscopies-with-precision/#Coding Colonoscopies

above states append modifier 33 to indicate preventative services [which is what I thought], but I'm now being told otherwise.
 
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