Clinical Documentation: Connecting the Dots | Join Webinar & Earn 1 AAPC® CEURegister Now >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

NEW PT MODIFIER FOR COLON

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.
THANKS,
MELANIE L
NORTHEAST DIGESTIVE HEALTH
mlinton@northeastdigestive.com

SuperCoder Answered Wed 05th of January, 2011 20:59:41 PM

http://www.cms.gov/MLNMattersArticles/downloads/MM7012.pdf states:
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.

Related Topics