Results 1 to 4 of 4

Anoscopy(flexible fiberoptic) during evaluation and management?

  1. Question Anoscopy(flexible fiberoptic) during evaluation and management?
    Medical Coding Books
    Okay... I'm beating my head against the wall here. Hoping anyone out there can help! I am getting two completely different views on this subject everywhere I turn. Here is the scenario:

    Patient presents for a consultation with surgical specialist for Hemorrhoids and Rectal Fistula. The dictation is a FULL evaluation and management visit, and during the exam, "Fiberoptic anoscopy was performed, scar tissue and hypertrophy papilla were seen."

    To bill separate procedure or not? Here is the question: Do you bill a New patient visit(or consult if non medicare) with a modifier -25, and bill the 46600 for the anoscope procedure, OR is this procedure content to the E/M?

    I've had several say it's content to the E/M, and other say no... it's separately identifiable. Any help would be so appreciated!

  2. Smile
    As per my opinion Anoscopy procedure could be coded separately along with the consult or new patient visit for the above scenario.

    Jemimah Crescentia,CPC

  3. #3
    Tacoma, WA
    I patient, procedure not previously planned, code the New pt E/M with 25 modifier and then the procedure code.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  4. #4
    Agree with the 25 modifier. But I've never heard of a flexible fiberoptic anoscopy.

Similar Threads

  1. Replies: 0
    Last Post: 09-10-2014, 11:22 AM
  2. Gi evaluation and management
    By veloso in forum Gastroenterology
    Replies: 3
    Last Post: 09-20-2011, 08:59 AM
  3. evaluation and management
    By thelma in forum Orthopaedics
    Replies: 2
    Last Post: 02-22-2011, 08:55 AM
  4. Billing for anoscopy with a flexible sigmoidoscopy
    By baileybu2 in forum General Surgery
    Replies: 2
    Last Post: 12-13-2010, 10:45 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.