Learn about Colonoscopy and Endoscopy billing procedure methodologies. GI gastrointestinal endoscopy and colonoscopy preparation, complication and what happened after the process. How to do the correct billing. EGD, GI and Screening CPT codes.
Wednesday, June 29, 2016
Polypectomy Performed During Screening Endoscopy - billing Guideline
There are also times when the provider, while performing a screening colonoscopy, finds an abnormality that is removed. CMS coding guidelines indicate:
“If during the course of such screening colonoscopy, a lesion or growth is detected which results in a biopsy or removal of the lesion or growth, payment under this part shall not be made for the screening colonoscopy but shall be made for the procedure classified as a colonoscopy with such biopsy or removal.”
The appropriate CPT code for the surgical endoscopy should be reported on the claim. Furthermore, the initial diagnosis should be the appropriate V code for the screening service since that is the primary reason why the encounter was performed. A second ICD-9-CM code indicating the finding should also be reported.
For example, if the patient undergoes a screening colonoscopy and a polyp is found and removed by snare, this would be reported as shown on the following page:
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