kerrieannday
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I am a coder in Michigan and I am interested in how fellow coders are doing the following along with rationale:
1. Colonoscopy to cecum with sigmoid biopsy and ascending colon snare polypectomy? One code or two
2. Colonoscopy and EGD in same operative setting. Bill both codes with the use of the 59 modifier?
It seems that WPS will not consider both colon codes and rejects one.
They pay very little for the second endoscopy when done at the same setting, although seperate scopes are being used and the patient repositioned, etc.
Thanks so much for your help fellow coders.
1. Colonoscopy to cecum with sigmoid biopsy and ascending colon snare polypectomy? One code or two
2. Colonoscopy and EGD in same operative setting. Bill both codes with the use of the 59 modifier?
It seems that WPS will not consider both colon codes and rejects one.
They pay very little for the second endoscopy when done at the same setting, although seperate scopes are being used and the patient repositioned, etc.
Thanks so much for your help fellow coders.