g0121

  1. T

    Wiki Modifier PT with 53

    Hello! I am newer to billing for Gastroenterology and I need some help! :) Patient was seen for a colon screen- few small mouthed diverticula were found in sigmoid colon also large amount of stool causing DR to abort. Claim was originally billed as 45380 PT 53. Medicare denied for invalid...
  2. C

    Wiki Screening Colonoscopy and Anestheisia

    Screening Colonoscopy and Anesthesia If a patient is having a screening colonoscopy G0121, G0105, or 45378-33. Lets say a non-medicare patient was coded with a G0121 and DX Z12.11. G0121 is accepted by most commercial insurance companies so this should be fine. When its time to bill...
  3. E

    Wiki Modifier 73 - screening colonoscopy

    For the facility side, if a Medicare patient presented for a screening colonoscopy which was terminated prior to sedation, would you code 45378-73 or G0121-73? I am sure for other than Medicare it would be the former, but not sure what to do for this Medicare patient. TIA Richard
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