Wiki E/m and Colonoscopy same day

[Kcronin1122]

If a colonoscopy(45380) was done on the same day as an initial hospital visit (99221) would the 99221 need a 25 modifier?
Thanks

 

[Kris Cummings]

For Medicare, or other carriers who follow NCCI, there's a procedure to procedure edit (PTP). You'll need a modifier 25. For other health plans, I'm not sure.

Here's where you may find the NCCI edit tables:
https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/NCCI-Coding-Edits.html\

Best of luck!