2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-Supplemental CPT Category 3 Codes

Video Transcription

Video Summary

In this video, the presenters answer various questions related to medical coding and procedures. The first question asks whether modifier PT33 should be used with code G0105 for family history of colon cancer. The answer is no, as G codes do not require modifiers unless converting to a surgical endoscopy. The next question addresses the use of modifier 53 for aborting a procedure prior to the splenic flexure. The presenters explain that modifier 53 is no longer valid in this case and only a sigmoidoscopy code should be used. Another question asks about billing for a repeat colonoscopy due to unremoved polyps. The answer is that no modifier is necessary and as long as there is medical necessity, the procedure can be billed. Other questions cover topics such as dysphagia with biopsies, demarcation during endoscopies, EMR and ESD guidelines, the use of modifier 59 and XS, Z codes for office visits and procedures, and more. The presenters provide answers based on their knowledge and experience but note that payer policies may vary. No credits were mentioned in the video.

Keywords

medical coding

procedures

modifier PT33

code G0105

family history of colon cancer