WebMar 1, 2024 · 45378-33, Z80.0 for Medicaid and commercial patients. Rationale: For Medicaid and commercial patients, append modifier 33 to the CPT® code to eliminate patient cost-sharing (copay, coinsurance, and deductible). Scenario 2: Indication: Iron … WebNov 15, 2015 · Modifier 33 . Harvard Pilgrim Health Care considers the procedures and diagnostic codes and Preventive Benefit Instructions listed in the table below in determining whether preventive care benefits apply. While Modifier 33 may be reported, it is not used in making preventive care benefit determinations

Coverage of Colonoscopies Under the Affordable Care Act’s …

WebCPT Code 45378, Surgical Procedures on the Colon and Rectum, Endoscopy Procedures on the Rectum - Codify by AAPC ... MODIFIERS; ICD-9-CM Vol1 CrossRef ; ICD-9-CM … WebCPT modifier 33 is applicable to preventive services that do not have a unique code for such services (e.g., E&M codes such as, 99401 would not require modifier 33 as this code ... this is screening colonoscopy (code 45378), which results in a polypectomy (code 45383). friendly express

Coding Colonoscopies - Haugen Consulting Group

WebCPT/HCPCS Codes* Required Clinical Information ; Screening Colonoscopy – Site of Service ; 45378, 45380, 45381, 45384, 45385, G0105, ... CPT Code Description 45378 . … WebApr 9, 2012 · Modifier 33 is a valid CPT modifier and may be used for all payers. Check with individual payers for their instructions. Modifier PT is more specialized. Modifier PT … http://www.colonoscopyandendoscopybilling.com/2010/06/colonoscopy-billing-cpt-45380-45385.html fawnandfable instagram