billing 99214 after colonoscopy

What is common billing practice for the office visit following a colonoscopy?

re: billing 99214 after colonoscopy

What was the subsequent visit for?

re: billing 99214 after colonoscopy

The visit was to go over the results of the colonosocpy.

re: billing 99214 after colonoscopy

I would bill 99212/3. Maybe someone has other suggestions.

re: billing 99214 after colonoscopy

For a screening colonoscopy with normal findings, I would not expect any visit.

After a diagnostic colonoscopy, select the level of service based on the three key components or time. There is no "right" level of service.

re: billing 99214 after colonoscopy

I need to clarify my question. I have a patient that is questioning the charges for a return to clinic visit. She does not feel that she should have to pay this nor should the visit been billed to insurance. I tried to explain that Post Op does not apply to this because it is a procedure not a surgery. I am wondering how otherse generally bill this. Does that make sense?

re: billing 99214 after colonoscopy

If the physician has medical necessity for this visit, it can be billed. The question is the level billed, in my mind. If only giving results and recommendations how did you get to a 99214. This code is used for a moderate risk of morbidity without treatment; and an uncertain prognosis (as an example).

re: billing 99214 after colonoscopy

If this was a screening colonoscopy with normal findings, then I agree with the patient.

If the findings were abnormal and required additional discussion of treatment options or if the procedure was a diagnostic exam and required follow up, bill an E/M.

re: billing 99214 after colonoscopy

Ok Thank for all your help. I am new to the billing and it looks at though they have always billed a 99213 (not a 99214) for a follow up to discuss the results when there were findings.