PT modifier

Patient comes in for screening colon. I know if polyps are removed I would use the PT modifier but how do I report if a biopsy was done.

PT modifier

The HCPCS description of this modifier is:

PT Colorectal cancer screening test; converted to diagnostic test or other procedure

So use it for screening tests when you take a biopsy.

PT Modifier

What if we remove polyps and biopsy another polyp during a screening colonoscopy?

PT Modifier

Here is some guidance from Palmetto.

Yes: any colonosocopy that starts as a screening and becomes therapeutic or diagnostic gets the modifier.

http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Ohio%20Part%20B%20Carrier~Browse%20by%20Topic~Modifier%20Lookup~8C5MD86124?open&navmenu= And, this is all the MLN Matters article says:

Extension of Waiver of Deductible to Services Furnished in Connection with or in Relation to a Colorectal Screening Test that Becomes Diagnostic or Therapeutic
The Affordable Care Act waives the Part B deductible for colorectal cancer screening tests that become diagnostic. The Medicare policy is that the deductible is waived for all surgical procedures (Current Procedural Terminology (CPT) code range of 10000 to 69999) furnished on the same date and in the same encounter as a colonoscopy, flexible sigmoidoscopy, or barium enema that were initiated as colorectal cancer screening services. Modifier “PT” has been created effective January 1, 2011 and providers and practitioners should append the modifier “PT” to a least one CPT® code in the surgical range of 10000 to 69999 on a claim for services furnished in this scenario.