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Thread: colonoscopy anesthesia with hx drug abuse

  1. #1
    Join Date
    Apr 2007
    Sioux Falls, SD

    Default colonoscopy anesthesia with hx drug abuse

    AAPC: Back to School
    I have a patient that preferred full sedation for a colonoscopy due to a history of drug abuse and concern with conscious sedation. Insurance has denied the anesthesia as a contractual obligation. Is anyone aware of a modifier or diagnosis that would be appropriate in this situation to justify the level of anesthesia? Thanks for your help!

  2. #2
    Join Date
    Apr 2007


    The only thing I am aware of would be an ABN for Medicare patients, if that is done prior to the procedure you use the GA modifier.

    After the fact I don't think there is anything you can do but learn from the experience and avoid it in the future.

    Laura, CPC, CEMC

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