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Thread: Colonoscopy follow up visits???

  1. #1

    Question Colonoscopy follow up visits???

    AAPC: Back to School
    The general surgeon performed colonscopy and excision of thrombosed hemorrhoid. Colonoscopy carries no global period, however the hemorrhoid excision does. The physician has the patient come back in a week to follow up and discuss results. Would it be appropriate to bill an established level of care with modifier 24 for the discussion of colonscopy results/diagnosis and treatment (fiber)?

    My surgeon is adamant that because he is addressing issues not related to the just the hemorrhoids, a level should be billed for-say-spastic redundant colon.

  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    Yes, it is ok to have this visit for discussion, as long as there is medical necessity (findings during the scope) You won't need the 24. No modifier is necessary as there is no global period. Not all things can be discussed right after the procedure, due to time constraints, or if you are waiting on path.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Join Date
    Apr 2007


    I'm confused why you won't need the 24 modifier? The patient is still in the global for the hemorrhoidectomy.

  4. #4
    Join Date
    Apr 2007
    Greater Orlando

    Default 24 modifier

    You will need the "24" and I agree that a separate E/M can be coded for colonoscopy result discussion. Good luck.
    Anita Johnson, CPC, CCS, CPMA, CCS-P
    Orlando, FL

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