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Use of modifier 53 & 33 for colonoscopy

Kevin Posted Wed 13th of November, 2013 10:06:49 AM

Our physician was doing a screening colonoscopy on a patient where there were biopsies done by snare technique. The physician noted in the op-note that there was a moderate amount of stool throughout the entire colon, interfering with visualization. Physician is having patient come back for another colonoscopy in a few weeks. For this colonoscopy today (the one with the poor prep), Am I correct to code it 45385 w/ modifiers 53 & 33 ? Does it matter the order of the modifiers ?

SuperCoder Answered Wed 13th of November, 2013 13:37:13 PM

Yes, you would bill this out 45385-53-33.

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