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Follow- up colonoscopy

Joseph Posted Thu 21st of July, 2011 21:08:17 PM

Could someone clear this up for me? If a Medicare patient has a hx of colon cancer or polyps and has a colonoscopy due to high risk and polyps are found we code the hx code first then the polyp. My question is: Does this patient qualify for a follow-up colonoscopy the next year with an indication for high risk since we append the PT modifier to the diagnostic procedure code showing this was done as a high risk screening? Any help with this issue would be appreciated.

SuperCoder Answered Thu 21st of July, 2011 21:42:16 PM

Go through the below link to clarify your concept before you ask if the patient qualifies for F/U colonoscopy.

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