Getting it Right: Correct coding for Screening, Surveillance & Diagnostic Colonoscopies
$129.00
Approx. 1.5 Hours
No CEUs are available for this recording
What You’ll Learn
* How to correctly determine procedure intent at the time of scheduling
* Differentiate between screening, high-risk (surveillance), and diagnostic colonoscopies
* Proper use of CPT vs. HCPCS codes (G0121 vs. G0105 vs. 45378–45385)
* When and how to apply modifier 33 and modifier PT
* How to handle screening procedures that become therapeutic (polyp removal, biopsy)
* Documentation requirements to support preventive vs. diagnostic classification
* How to code positive FIT/Cologuard follow-up colonoscopies
* Understanding payer-specific rules (Medicare vs. commercial plans)
* Frequency limitations for Medicare screening services
* How to identify and correctly code high-risk patients
* Tips for aligning provider documentation with coder interpretation
* Real-world examples of denial scenarios and corrections
* How to avoid common modifier errors and missed opportunities
* Best practices for front-end scheduling and intake accuracy
* Strategies to reduce patient cost-sharing errors
* Audit triggers and how to stay compliance-ready
Presented by
Tara White CGIC, CPMA
&
Kathleen Mueller, RN, CPC, CCS-P, QMC, QMGC, CCC, ICD-10 Proficient
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