Wiki Colonoscopy thru stoma

[DRBasel1045]

I have a procedure I am coding, the pt had biopsy thru the flexsig, which is 45331 then I have the procedure code for the stoma which is 44388. My problems is this is a Medicare patient, and pt had a bad prep and the dr is planning on redoing the colonoscopy. The note does state that the scope was advanced to the cecum, identified by the appendicial orifice and ileocecal valve. Do I leave this as a completed colon or can I add modifier to show that it was incomplete due to bad prep?

 

[bridgettemartin]

If the provider plans to repeat the colon through stoma d/t poor prep, then you need to append a -53 modifier.

 

[DRBasel1045]

Thanks Bridgett, That is what I thought, but I just wanted to make sure.

Thanks Again!

Dawn