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Wiki Sorry another question about colonoscopies

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coder25

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If a medicare patient is seen in the hospital for the first time by us and she has constipation, abdominal pain, and a change in bowel habits, can we bill out the E/M prior to the colonoscopy. Pt was seen 9/15 and colonoscopy was done 9/18/09.

Please help...so confusing!

Thanks
 
The patient was initially seen for signs and/or symptoms requiring diagnostic testing. This makes the colonoscopy diagnostic and the prior E&M service billable. If a patient is seen prior to screening colonoscopy--having no signs, symptoms, or past history--the evaluation prior to the exam is not covered by Medicare.
 
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