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Colonoscopy

Kathy Posted Mon 14th of February, 2011 01:22:00 AM

I am located in Maryland and I want to no if u are allowed more by perfoming this procedure in the office or hospital

SuperCoder Answered Mon 14th of February, 2011 17:37:16 PM

Based on the notion that doing a colonoscopy -- the most common and highest revenue procedure in gastroenterology -- in a physician's office costs his or her practice far more than doing it in a "facility" (hospital or ambulatory surgery center), CMS has slashed the fee it pays over the years for doing the procedure in a facility.

It's not safe to do the procedure in the physician's office because of the far more extensive backup equipment and staff in facilities. About 95% of colonoscopies were performed in hospitals or ASCs.

Medical Answered Mon 14th of February, 2011 18:25:18 PM

Do insurance companies pay for colonic? How would you bill for a colonic?

Medical Answered Mon 14th of February, 2011 18:32:10 PM

The CPT codes below are for acupuncture with electrical stimulation does that mean the electrical stimulation is included or I can bill the acupuncture plus the electrical stimulation code.

97813
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
97814
Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)

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