SuperCoder Posted Fri 22nd of June, 2012 17:59:58 PM
THE DR IS DOING A SCREENING COLONOSCOPY AND BILLING FOR G0105/G0121. WHICH CODE TO USE? AND IS THERE A MODIFIER NEEDED? DO I NEED TO BILL 45378 WITH IT? PLEASE RESPONSE ASAP
SuperCoder Answered Mon 25th of June, 2012 14:23:17 PM
The Choice of G0121 or G0105 depend up on the disease. If patient has a personal history of cancer then the code would be G0105 otherwise report G0121.
Applicability of modifier depends up on the local carrier policy, if billing to Medicare then no modifier is required.
We can’t report G0121 or G0105 with 45378.