Question Poor Prep

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Allentown, PA
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Sorry if this has been asked and answered - but how do you handle repeat screening colonoscopies due to a poor prep. If doctor doesn't reach the cecum I use modifier 53. But if they do reach the cecum, Patient at average risk - so normally they wouldn't be able to have another colonoscopy for 10 years, but since it really wasn't a good exam, how do you handle it?
 
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