ercoder65
Guest
Based upon everything I've read, it sounds like a completed Colonoscopy is when the scope passes the Splenic Flexure. So, if a surgeon says in his OP report that the procedure was aborted due to poor prep, and the scope had advanced beyond the Splenic Flexure (sometimes to the Ascending Colon), why would we have to use modifier 74 if this procedure was considered "complete"? I am still confused by the use of modifier 74 and when to use it on a colonoscopy that by definition, is "complete". Also, if a colonoscopy was scheduled, and the obvious intent would be to reach the Cecum, but the scope could not reach the Splenic Flexure and the surgeon documented what he/she visualized in the descending colon, would it be appropriate to code the Sigmoidoscopy (without modifier 74) instead of colonoscopy with modifier 74? Thanks in advance....................