coachlang3
True Blue
Need some help folks.
We had a pt come in in January 09 for a CCS. During the screening a very large polyp was found. Doctor removed as much as possible but dictated in his note that the pt may have to come in for a repeat exam in 6-12 months to make sure all the polyp was removed (pending path). Well, they called the pt to schedule a repeat exam.
Pt had BCBS in January, now has Medicare. Our thought is to put a modifier 76 on the new claim. Someone else said we should have put a 52 mod on the original claim and now we should refile the original w/the 52 and the new claim should go w/no mod.
Also, would we code it as a screening again? I would think diagnostic (as long as nothing was found this time). But we can't use the V code.
Thoughts? Ideas?
Thanks,
Fred
We had a pt come in in January 09 for a CCS. During the screening a very large polyp was found. Doctor removed as much as possible but dictated in his note that the pt may have to come in for a repeat exam in 6-12 months to make sure all the polyp was removed (pending path). Well, they called the pt to schedule a repeat exam.
Pt had BCBS in January, now has Medicare. Our thought is to put a modifier 76 on the new claim. Someone else said we should have put a 52 mod on the original claim and now we should refile the original w/the 52 and the new claim should go w/no mod.
Also, would we code it as a screening again? I would think diagnostic (as long as nothing was found this time). But we can't use the V code.
Thoughts? Ideas?
Thanks,
Fred