Link: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55069&DocID=A55069
Description: WEBOct 1, 2015 · 2) Append the –PT modifier to the CPT ® code. The –PT modifier indicates a screening colonoscopy has been converted to a diagnostic test or other procedure. 3) Use an appropriate ICD-10 diagnosis code to indicate the procedure was a screening procedure.
DA: 3 PA: 90 MOZ Rank: 92
Link: https://med.noridianmedicare.com/web/jeb/topics/modifiers/pt
Description: WEBDec 6, 2022 · Modifier PT. A colorectal cancer screening test which led to a diagnostic procedure. Correct Use. When a service began as a colorectal cancer screening test and then was moved to diagnostic test due to findings during the screening.
DA: 11 PA: 94 MOZ Rank: 17
Link: https://gastro.org/practice-resources/reimbursement/coding/coding-faq-screening-colonoscopy/
Description: WEBModifier PT (if Medicare patient) or Modifier 33 (if non-Medicare) should be added to indicate this was a preventive service and to trigger benefits Diagnosis code: V76.51 (Special screening for malignant neoplasms, colon). Some Medicare payors instruct to only use the finding since the PT modifier indicates it was done for screening.
DA: 53 PA: 14 MOZ Rank: 28
Link: https://codingintel.com/coding-for-screening-colonoscopy/
Description: WEBJul 31, 2023 · Modifier PT. CMS developed the PT modifier to indicate that a colonoscopy that was scheduled as a screening was converted to a diagnostic or therapeutic procedure. The PT modifier (colorectal cancer screening test, converted to diagnostic test or other procedure) is appended to the CPT ® code.
DA: 89 PA: 55 MOZ Rank: 22
Link: https://www.tebra.com/theintake/getting-paid/medical-billing-and-coding/coding-rules-for-modifier-33-and-modifier-pt
Description: WEBWhat is modifier PT? Modifier PT is a level II modifier that indicates that a colorectal screening service was converted to a diagnostic or therapeutic service. Medicare covers screening colonoscopies without a co-pay or deductible and coinsurance. These screening colonoscopies are billed with HCPCS codes to Medicare (G0105 and G0120).
DA: 44 PA: 16 MOZ Rank: 7
Link: https://www.aapc.com/blog/84107-code-colonoscopies-with-precision/
Description: WEBMar 1, 2022 · Append modifier PT A colorectal cancer screening test converted to diagnostic test or other procedure to the procedure code if a screening turned into a diagnostic procedure. This does not waive Medicare patients’ 20 percent coinsurance and/or a copay, but it will waive the deductible.
DA: 50 PA: 73 MOZ Rank: 55
Link: https://www.cms.gov/files/document/r11149cp.pdf
Description: WEB2. Logic 01/01/2022 Logic related to modifier PT for colorectal screening is updated to include a gradual waiver of coinsurance for colorectal cancer screenings and other surgical services reported on the same day, in addition to the waiver of the deductible (new Payment Adjustment Flag 25).
DA: 12 PA: 22 MOZ Rank: 11
Link: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00008244
Description: WEBTo indicate a screening colorectal cancer procedure (codes G0104, G0105, or G0121) has become a diagnostic or therapeutic service, add modifier –PT to at least 1 code on the claim, submitted on the line item with codes 10000–69999, G0500, 00811, or 99153 for a diagnostic colonoscopy, diagnostic flexible sigmoidoscopy, or other procedure.
DA: 76 PA: 22 MOZ Rank: 24
Link: https://www.aapc.com/codes/coding-newsletters/my-general-surgery-coding-alert/medicare-coverage-correctly-file-screening-colonoscopy-claims-with-these-tips-171553-article
Description: WEBFeb 18, 2022 · Modifier: Don’t forget to add modifier PT (Colorectal cancer screening test; converted to diagnostic test or other procedure) to identify these as preventive services,” says Glenn D. Littenberg, MD, MACP, FASGE, AGAF, a gastroenterologist and former CPT® Editorial Panel member in Pasadena, California.
DA: 75 PA: 3 MOZ Rank: 9
Link: https://www.palmettogba.com/palmetto/jmb.nsf/DIDC/8EEMFC0580~Claims~Modifier%20Lookup
Description: WEBJul 16, 2020 · Description. Colorectal cancer screening test is converted to diagnostic test or other procedure. Guidelines and Instructions. Submit this modifier with the appropriate CPT code for colonoscopy, flexible sigmoidoscopy or barium enema when the service is initiated as a colorectal cancer screening service but becomes a diagnostic service.
DA: 98 PA: 73 MOZ Rank: 22
