I bill for Florida based anesthesia providers. I have seen some MCR denials for 00813 when a screening colonoscopy was performed with EGD and the screening colonoscopy turned diagnostic. I have been billing 00813 with modifier PT without Z12.11 or Z80.010. Mcr states modifier used is inappropriate with 00813.
Any help is appreciable. Not sure of any new Medicare guidelines if any. Please update. Appreciate !!
Any help is appreciable. Not sure of any new Medicare guidelines if any. Please update. Appreciate !!