Reporting Failed Esophageal Dilation Followed By An Endoscopy

Reporting Failed Esophageal Dilation Followed By An Endoscopy

According to NCCI policy manual if a procedure utilizing one approach fails and is converted to a procedure utilizing a different approach, only the completed procedure may be reported. Hence If esophageal dilation as described by CPT 43450 – CPT 43458 fails and is followed by an endoscopic esophageal dilation procedure, only the endoscopic esophageal…

(2022) CPT Codes For Colonoscopy – Descriptions, Guidelines, Reimbursement & Modifiers

(2022) CPT Codes For Colonoscopy – Descriptions, Guidelines, Reimbursement & Modifiers

CPT code(s) for colonoscopy range from 45378 to 45398 and are used to bill services when colonoscopies are performed to visualize the entire colon. This also includes the small intestine or terminal ileum proximal to anastomosis for diagnostic, therapeutic, and screening purposes. CPT Code For Colonoscopy Descriptions Colonoscopy procedures are reported with CPT codes 45378-45398…

New Values for Incomplete Colonoscopies Billed with Modifier 53

New Values for Incomplete Colonoscopies Billed with Modifier 53

An incomplete colonoscopy, e.g., the inability to advance the colonoscope to the cecum or colon-small intestine anastomosis due to unforeseen circumstances, is billed and paid using colonoscopy through stoma code CPT 44388, colonoscopy code CPT 45378, and screening colonoscopy codes CPT G0105 and CPT G0121 with modifier “-53.” (Code CPT 44388 is valid with modifier…