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Christine Posted Wed 10th of January, 2018 10:26:31 AM
Can someone tell me how and when these modifiers are used in Anesthesia for the new codes 00811 and 00812 please. I am confused.
SuperCoder Answered Thu 11th of January, 2018 00:46:22 AM

Hi,

There was an update for code 00810, when anesthesia service 00810 is performed in conjunction with screening colonoscopy services G0105 (Colorectal cancer screening; colonoscopy on individual at high risk) or G0121 (Colorectal cancer screening; colonoscopy on individual not meeting the criteria for high risk), coinsurance and deductible will be waived for anesthesia service 00810 when modifier 33 is entered on the anesthesia claim. When a screening colonoscopy becomes a diagnostic colonoscopy, anesthesia code 00810 should be submitted with the PT modifier and only the deductible will be waived. But since code is deleted and we have new codes 00811 and 00812 for the same, i think guideline applies same. But, yet we dont have any CMS update for the same.

 

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