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Repeat Colonoscopy same day different MD

  1. Default Repeat Colonoscopy same day different MD
    Medical Coding Books
    I have run into an issue where we are having trouble with reimbursement and I am not sure now how to code this.

    Pt has a discontinued Screening Colonoscopy in the AM and it is coded as a 45378 -53 Professional and 45378- 74 Facility. we get reimbursed for that.

    Same pt returns for the PM session and now has a repeat procedure with another MD and a snare polpectomy is done. This is getting denied with modifiers 77.

    I need help with this pleasde any ideas?



  2. Default
    Modifier 77 stated that the prior procedure was repeated...the am procedure was a diagnostic colonscopy and the pm procedure was a colonoscopy with a snare polypectomy....two different procedures

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