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Gastroenterology

Thomas Posted Tue 05th of August, 2014 14:51:07 PM

Patient was admitted to hospital on 7-4-14 for Gi bleed.
Upper and lower procedures done on patient and discharged 7-8-14.
Patient came back to hospital/ER on 7-12-14 for hematochezia which was not caused from procedures on 7-7-14. Do we need to use a modifer for the second colonoscopy (45378) on 7-7-14?
Oklahoma subscriber

SuperCoder Answered Tue 05th of August, 2014 15:28:06 PM

Thanks for your question. There are no global restrictions for 45378;Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure). You will be able to bill with the new diagnosis code and the different date of service and should not receive a denial. Hope this helps!

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