2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-Screening vs Diagnostic Colonoscopy: The Confusion that keeps on Giving

Screening vs Diagnostic Colonoscopy: The Confusion that keeps on Giving

Video Transcription

Video Summary

The video discusses the differences between screening and diagnostic colonoscopy and the confusion that surrounds them. It covers various topics including the Affordable Care Act update on screening, Medicare screening colonoscopy loophole, high-risk surveillance, screening modifiers, billing the visit before screening, and the differences between screening, surveillance, and diagnostic colonoscopy. It emphasizes the importance of verifying pre-authorization and eligibility, properly documenting medical necessity, and following specific payer guidelines when billing and coding for these procedures. The video also provides ICD-10 hints for coding and highlights the need to educate patients and healthcare providers about the distinctions between these procedures. The summary is based on the information presented in the transcript of the video. No credits are mentioned or provided in the transcript.

Asset Subtitle

Kathleen A. Mueller, RN, CPC, QMC, QGMC, CCS-P, ICD-10 Proficient

Keywords

screening colonoscopy

diagnostic colonoscopy

Affordable Care Act

Medicare screening colonoscopy loophole

high-risk surveillance

screening modifiers

billing the visit before screening