MoonSad137
Contributor
Hello,
I had a very rare thing happen last week! We are in California and had a Medicare patient come into the office for a small bowel capsule endoscopy. Patient was hooked up, swallowed the capsule and everything seemed fine. Patient goes home and about an hour and a half later they call and say that they've coughed up the camera! We advised patient to swallow the camera again.
Well when doctor read the capsule endoscopy video he documented:
"PROCEDURE INFO & FINDINGS: The capsule was delayed in the pharynx and stomach for a prolonged period. No small bowel lesions were identified. The capsule did not reach the cecum.
SUMMARY & RECOMMENDATIONS: Incomplete study. Consider abdominal xray to r/o retained capsule and then repeat capsule study (possibly with EGD assistance)."
Obviously this is an incomplete study and should be billed with a modifier 52. I thought I'd share the interesting story!
I had a very rare thing happen last week! We are in California and had a Medicare patient come into the office for a small bowel capsule endoscopy. Patient was hooked up, swallowed the capsule and everything seemed fine. Patient goes home and about an hour and a half later they call and say that they've coughed up the camera! We advised patient to swallow the camera again.
Well when doctor read the capsule endoscopy video he documented:
"PROCEDURE INFO & FINDINGS: The capsule was delayed in the pharynx and stomach for a prolonged period. No small bowel lesions were identified. The capsule did not reach the cecum.
SUMMARY & RECOMMENDATIONS: Incomplete study. Consider abdominal xray to r/o retained capsule and then repeat capsule study (possibly with EGD assistance)."
Obviously this is an incomplete study and should be billed with a modifier 52. I thought I'd share the interesting story!