Wiki reduced services??

[lindaf]

I am coding a colonoscopy pn a patient that did not want conscious sedation, I am thinking this should be billed with the reduced services modifier since we did not administer sedation. Any other opinions?

 

[coachlang3]

No, it's just an included portion of the procedure so you wouldn't bill it seperately.

Kind of like the OV prior to a screening is not covered by Medicare as it's considered part of the procedure. You don't put the 52 on the procedure if they didn't have the OV.

 

[sherrm12]

Exactly. Reduced services would be used when the colonoscopy was not completed. Whether or not the patient obtained any anesthesia should not be considered when coding for the colonoscopy.