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EM Coding Alert

You Be the Coder:

Know When, and When Not, to Code for Screening Colonoscopy, E/M

Published on Fri Oct 19, 2018

Question: We reported 99213 as well as the colonoscopy screening code G0121, and we used modifier 25 on the E/M code. Our payer used to reimburse us for this but we’re now seeing denials. Should we appeal? Utah Subscriber Answer: Probably not. If your gastroenterologist frequently reports an E/M code (99201-99215) on to her screening colonoscopy services, check the documentation [...]
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