Results 1 to 4 of 4

Colonoscopy follow up visits???

  1. #1
    Question Colonoscopy follow up visits???
    Medical Coding Books
    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
    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,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

  3. #3
    I'm confused why you won't need the 24 modifier? The patient is still in the global for the hemorrhoidectomy.

  4. #4
    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

Similar Threads

  1. V67.09 for Medicare follow up colonoscopy
    By cwharvey in forum Gastroenterology
    Replies: 1
    Last Post: 06-21-2012, 07:56 AM
  2. E/m for follow up visits.
    By codingisfun in forum E/M
    Replies: 2
    Last Post: 02-17-2011, 12:09 PM
  3. Follow up visits
    By HBULLOCK in forum Diagnosis Coding
    Replies: 0
    Last Post: 07-14-2010, 01:45 PM
  4. Follow-up visits
    By LTibbetts in forum E/M
    Replies: 10
    Last Post: 01-21-2010, 09:34 AM
  5. Follow Up Visits
    By yvonnebonnie in forum Internal Medicine
    Replies: 2
    Last Post: 02-20-2009, 05:56 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.