Gastroenterology Coding Alert
Sigmoidoscopy Code and EGD
The text should have read: "If, for example, the gastroenterologist spends an inordinate amount of time removing polyps during a sigmoidoscopy, don't just report 45333 (Sigmoidoscopy, flexible; with removal of tumor[s], polyp[s], or other lesion[s] by hot biopsy forceps or bipolar cautery) and append modifier -22; you should also make sure there is documentation that specifies exactly how long the procedure took, and how much extra work was involved."
Gastroenterology Coding Alert
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Can You Report E/M Service for Tube Removal?
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If you can't prove medical necessity, sedation payment is unlikely Getting separately reimbursed for conscious [...] - Coding Clarification:
Sigmoidoscopy Code and EGD
In the August 2004 issue of Gastroenterology Coding Alert, the article "Must-Know [...] - Reader Questions:
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Question: A patient with abdominal distention reported to the office. The gastroenterologist performed a colonoscopy [...] - Reader Questions:
Stent Placement Code Overrides Dilation
Question: I was coding a transendoscopic stent placement claim. The endoscopic report read, "Stenosis of [...] - Reader Questions:
Use Reason When Reporting After-Hours Care
Question: Our normal office hours are 8:30 a.m. to 5:30 p.m. Monday through Friday. Occasionally, [...] - Reader Questions:
Control of Bleeding Changes EGD Code Choice
Question: Our physician performed an EGD for a patient with upper gastrointestinal bleeding and bleeding [...] - News You Can Use:
Get Ready for Winter Rush of New CPT Codes
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What Is the Most Vital Info on a Claim?
Question: I am trying to come up with a list for my gastroenterologists to follow [...] - Reader Question:
Show Sloppy Doctor the Dangers of Bad Notes
Question: One of our gastroenterologists is driving the coding department crazy. Each operative report he [...]
