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Colonoscopy with tatooing of colonic lesion

L

lindacoder

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Northeast Kansas AAPC
Medicare patient is sent to us after having undergone a colonoscopy by another physician who found a lesion but did not tatoo it at that time. Patient now presents for repeat colonoscopy to tatoo prior to colon resection being done by my physician. Do I just charge a regular colonoscopy or is there something else I should be doing? I was looking at 45381 but didn't know since he's Medicare if I can charge for it. ?? any modifier that I might need too.

Thanks.
 
If he truly does a complete colonoscopy and tattooing I would charge the 45381. If it is just a sigmoidoscopy with tattooing then I would use 45335. Hope this helps!
 
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