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In complete colonoscopies

  1. #11
    Default
    Medical Coding Books
    First, I need to know, does the physician intend to repeat the colonoscopy at a later date? (after a better prep)

    If yes, then code the procedure as incomplete with a -53 modifier so that you can bill for the second colonoscopy.

    Second, if your physician is not going to repeat the colonosopy, how far was the scope advanced? If he/she passed the scope beyond the Splenic Flexure than you bill the procedure as complete. (using the -52 modifier is optional, as long as the scope was passed beyond the Splenic flexure you can bill the procedure as complete.)
    Last edited by Colliemom; 03-12-2008 at 01:34 PM.

  2. Default
    I agree with codegirl0422.

  3. Default incomplete visual colonoscopy
    How would you icd-9 code incomplete visual colonoscopy?

  4. Default
    I was taught that 52 is for poor prep and 53 is for patient not tolerating the procedure.

    Here is a great link:
    https://www.noridianmedicare.com/pro...ication.pdf%3f
    Dee
    CPC, CPCO, CPMA, CPCD

  5. #15
    Default
    Mod 53 is used for incomplete for Medicare and other carriers but Mod 52 is used for Medicaid.
    JOJO-CPC-H

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