My experience would tell me that the first screening should have been aborted by the physician if he detected the prep was so poor that the results could be jeopardized. Some responsibility lies with the caregivers in assuring those holding positions for prepping and other assistance should be amply oriented with their duties. If the patient had not followed instructions, the screening probably should have been postponed altogether until proper prep could be realized. The index clearly states that medical necessity has to be proven for additional procedures, same day procedures, and aborted procedures, along with modifiers applied for additional procedures within certain time lines.
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