AAPC - Back to school
Results 1 to 3 of 3

Thread: Sorry another question about colonoscopies

  1. #1
    Join Date
    Apr 2007
    Lehigh Valley

    Default Sorry another question about colonoscopies

    AAPC: Back to School
    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!


  2. #2
    Join Date
    Apr 2007


    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.
    Jenny Berkshire, CPC, CEMC, CGIC

  3. #3
    Join Date
    Apr 2007
    Lehigh Valley


    Thank you for clearing this up for me. It is much appreciated.


Similar Threads

  1. Colonoscopies - I read an interesting post
    By lngast in forum Gastroenterology
    Replies: 4
    Last Post: 08-22-2014, 03:08 AM
  2. Question about colonoscopies and E/M
    By coder25 in forum Medicare Regulations
    Replies: 0
    Last Post: 09-28-2009, 02:53 AM
  3. Colonoscopies HELP!!!
    By kbarron in forum Gastroenterology
    Replies: 7
    Last Post: 02-19-2009, 07:58 AM
  4. Dx for colonoscopies
    By bethh05 in forum Gastroenterology
    Replies: 6
    Last Post: 12-17-2008, 06:14 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.