If a provider does a colonoscopy removes 3 polyps and sends one off for a biopsy. He stated in his op-note that this was poor prep and wants to do another colonoscopy within 2 months. Medicaid denied second colonoscopy request, he now wants me to add a modifier 52 and send in as a corrected claim. I am having a hard time with this because he was able to remove 3 polyps. Please Help!!!
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