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Gastroenterology Coding Alert

Gastroenterology Coding:

Does Poor Patient Preparation Warrant Modifier 52?

Published on Tue Mar 11, 2025

Question: A Medicare patient came in for a screening colonoscopy, and they had a poor prep. The documentation states the cecum was reached. Should I append a modifier due to the poor prep? Pennsylvania Subscriber Answer: No, you do not need to append a modifier to G0105 (Colorectal cancer screening; colonoscopy on individual at high risk). The physician reached the [...]
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