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Gastroenterology Coding Alert

You Be the Expert:

Heed These Colonoscopy Documentation Rules

Question: Our payer requested documentation of our colonoscopy claim and we submitted all of the records. The payer denied the claim stating that our documentation was not sufficient to support the diagnostic colonoscopy and specifically said that we did not document the depth of penetration. Are we supposed to document the exact depth in every note? Must we note it [...]