Maintain Comprehensive Documentation<\/strong><\/h3>\n\n\n\nEnsure comprehensive and accurate documentation. Record the initial screening intent, i.e., your documentation must explicitly state that the procedure barium enema, sigmoidoscopy, or colonoscopy) was begun as a screening investigation for colorectal cancer.<\/p>\n\n\n\n
Besides, include the unexpected findings that necessitated the transition of the screening procedure to therapeutic or diagnostic. These unanticipated scenarios can be polyp detection, suspicious lesions, bleeding, etc. <\/p>\n\n\n\n
Based on the findings, what subsequent procedures were performed? Document and code these procedures accurately and ensure your documentation establishes the medical necessity and appropriateness of the rendered subsequent care service.<\/p>\n\n\n\n
Summary<\/strong><\/h2>\n\n\n\nWith that said, let\u2019s quickly revisit what we discussed in this guide! We explained what level II or HCPCS modifiers are, how they differ from level I or CPT modifiers, and what the PT modifier indicates to the payer, i.e., a colorectal screening service converted to a therapeutic\/diagnostic service.<\/p>\n\n\n\n
We shared some examples where this modifier is applicable and discussed the billing guidelines that you must follow while appending this modifier. We hope these details will help you ensure the appropriate usage of this modifier. However, if you struggle to navigate the complex medical billing landscape, you can partner with our billing specialists at MediBillMD to experience a steady cash flow and a healthier revenue cycle.<\/p>\n\n\n\n
Frequently Asked Questions<\/strong><\/p>\n\n\n