Wiki Opinions please on colonscopy follow up visits

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AT2728

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The general surgeon performed colonscopy and excision of thrombosed hemorrhoid. Colonoscopy carries no global period, however the hemorrhoid excision does. The physician has the patient come back in a week to follow up and discuss results. Would it be appropriate to bill an established level of care with modifier 24 for the discussion of colonscopy results/diagnosis and treatment (fiber)?

My surgeon is adamant that because he is addressing issues not related to the just the hemorrhoids, a level should be billed for-say-spastic redundant colon.
 
He is correct if the subject matter of the follow up visit is for other than the hemorrhoids, it's definitely billable as an established patient visit.
 
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