Wiki ANOSCOPY & E&M svc done same day

[PAULA FEDELE]

discussion has been circulating that an ansocopy is part of the exam of the patient & should not be billed separately of the E&M.
I have a Colo-rectal Surgeon that completely disagrees & I am try to find CMS or other credible documention to support it one way or another.
thanks
Paula

 

[sferguson]

anoscopy

It has always been my understanding that if the pt comes in for an office visit and they decide to do the procedure then a 25 modifier can be used on the ov and both billed. If the procedure was scheduled, then just the proc.