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SCOPES W/ E/M

Barbara Posted Tue 22nd of September, 2015 14:53:28 PM

I am noticing more ins. co denying office visits with scopes is this something new?

SuperCoder Answered Wed 23rd of September, 2015 09:17:31 AM

Well, it depends on what circumstances scope codes has been billed. If, the scope procedure is already planned, e.g. for screening, then it will be coded with preventive medicine series E/M codes, on other end if it is necessity (scope procedure) during office visit, then it will be coded with the support of medical necessity, which will not be denied in that case. Hope it helps!

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