Pre-screening consultation for colonoscopy

Description

This code represents a consultation conducted prior to a screening colonoscopy. It is intended to assess the patient's medical history and suitability for the procedure, ensuring that any potential risks are addressed before the screening takes place.

Top Modifiers

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HCPCS/CPT 95Telehealth service via real-time interactive audio and video telecommunications(11.54%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(8.97%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(6.41%)

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(3.85%)

HCPCS/CPT CCProcedure code change due to administrative or filing error(2.56%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
HCPCS Quarterly Update, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)