PT - JF Part B
Browse by Topic
- Advance Beneficiary Notice of Noncoverage (ABN)
- Appeals
- Claims
- Clinical Trials
- Compliance Program
- Documentation Requirements
- Drugs, Biologicals and Injections
- Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
- Electronic Data Interchange (EDI)
- Emergencies and Disasters (COVID-19)
- Fraud and Abuse
- Home Health
- Hospice
- Incentive Programs
- Incident To
- Medicare Secondary Payer (MSP)
- Modifiers
- Non-Covered Services
- Noridian Medicare Portal (NMP)
- Observation
- Overpayment and Recoupment
- Preventive Services
- Remittance Advice (RA)
- Telehealth
- Wound Care
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
- Append the modifier to the diagnostic procedure code that is reported instead of the screening colonoscopy or screening sigmoidoscopy code
- Append to surgical procedure codes in the range: 10000-69999, G0500
- Append to the appropriately coded anesthesia procedure code associated to one of the above surgical codes
Incorrect Use
- Do not use the Modifier PT when the service began as a diagnostic procedure
Note: The Medicare policy waives the Part B deductible for all surgical procedures 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 and submitted with PT modifier.
Resources
Last Updated Tue, 06 Dec 2022 16:38:21 +0000