Wiki screening colon

[rcclary]

I know if a patient is having a screening colonoscopy and a polyp is removed we add the PT modifier and the deductable and co-ins are waived but what about the lab charges for the biopsied polyp? Will the patient get a bill for these services are is it also covered at 100%?

 

[Peter Davidyock]

The claims processing system would respond to the modifier by waiving the deductible for all surgical services on the same date as the diagnostic test. Coinsurance for Medicare beneficiaries would continue to apply to the diagnostic test and to other services furnished in connection with, as a result of, and in the same clinical encounter as the screening test.