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Incomplete Colonoscopy- instructed that

  1. #1
    Location
    Greenville, SC
    Posts
    51
    Default Incomplete Colonoscopy- instructed that
    Medical Coding Books
    I have always been instructed that if the endosocpe does not pass the splenic flexure, that you would not code for a colonoscopy, but for the sigmoidoscopy that was actually completed. The definition (and illustration) of 45378 and the description in the CDR confirms this.

    But now I am seeing different information stating that you still code for the colonoscopy, but use the 52 or 53 modifier for reduced or discontinued services.

    Which is correct? Can anyone point me to specific CMS guidelines?

  2. #2
    Smile Cms guidelines regarding incomplete colonoscopy
    Bill for the intended procedure.

    http://www.cms.hhs.gov/manuals/downloads/clm104c18.pdf PAGES 108=109.

    I also found this link from the coding institute: http://codinginstitute.com/articles/...ete_Guide.html

    Hope this helps!

    Michele
    Last edited by mhcpc; 08-17-2009 at 01:48 PM. Reason: additional information

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