Sophie Posted Wed 05th of January, 2011 17:00:44 PM
PLEASE HELP...IS -PT MODIFIER ONLY USED FOR A SCREENING COLON DONE W/ DX CODE V76.51 THAT TURNS INTO A DIAGNOSTIC PROC. OR CAN HIGH RISK DX CODES V12.72, V16.0 AND V10.05 BE INCLUDED IN USING THE -PT MODIFIER WHEN THE PROCEDURE TURNS DIAGNOSTIC?? PLEASE ADVISE.
NORTHEAST DIGESTIVE HEALTH
SuperCoder Answered Wed 05th of January, 2011 20:59:41 PM
Part B deductible for colorectal cancer screening tests that become diagnostic. The Medicare policy is that the deductible is waived for all surgical procedures (Current Procedural Terminology (CPT) code range of 10000 to 69999) furnished on the same date and in the same encounter as a colonoscopy, flexible sigmoidoscopy, or barium enema that were initiated as colorectal cancer screening services. Modifier “PT” has been created effective January 1, 2011 and providers and practitioners should append the modifier “PT” to a least one CPT code in the surgical range of 10000 to 69999 on a claim for services furnished in this scenario.