Amc Posted Wed 14th of November, 2012 18:35:51 PM
can a gastro bill for a colon screening visit when the patient comes to see him in the office a few days before the procedure?
SuperCoder Answered Thu 15th of November, 2012 04:12:37 AM
The visit prior to a screening colonoscopy for a healthy patient is not billable
If patient comes in with no symptoms and they just need to have a screening for either preventive age 50+ once every 10 years or high risk (i.e. personal hx, family hx, etc), then you cannot bill an E/M. There is nothing to evaluate and manage. In most cases the patients are being sent by a PCP to have the procedure. The PCP already determined they needed it. All your MD is doing is going over their H&P, discussing risks & benfits, and scheduling. This is pre-op work weather the pateint follows through or not.
If patient comes in with sign and symptoms, your MD has to perform an evaluation and managent visit to determine the plan of care which includes the treatment and/or diagnostic studies (i.e. colonoscopy). You should bill with the appopriate E/M with the appropriate sign/symptom/diagnosis.