CPT code 46614 is a medical billing code used for anoscopy procedures to control bleeding in the lower gastrointestinal tract.
CPT code 46614 is a procedure code used to describe the process of performing an anoscopy specifically for the purpose of controlling bleeding. This code indicates that a healthcare provider is using an anoscope, a specialized instrument, to examine the anal canal and rectum while simultaneously addressing any bleeding that may be occurring in that area. This procedure is typically performed in a clinical setting to manage conditions that can lead to rectal bleeding, ensuring proper diagnosis and treatment.
For CPT code 46614 (Anoscopy control bleeding), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly greater effort than typically required.
2. Modifier 51 - Multiple Procedures: Apply this modifier if multiple procedures were performed during the same session.
3. Modifier 52 - Reduced Services: Use this modifier if the procedure was partially reduced or eliminated at the physician's discretion.
4. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
5. Modifier 76 - Repeat Procedure by Same Physician: Use this modifier if the same procedure was repeated by the same physician.
6. Modifier 77 - Repeat Procedure by Another Physician: Apply this modifier if the same procedure was repeated by a different physician.
7. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Use this modifier if the patient had to return to the operating room for a related procedure during the postoperative period.
8. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used if an unrelated procedure or service was performed by the same physician during the postoperative period.
9. Modifier 80 - Assistant Surgeon: Apply this modifier if an assistant surgeon was required for the procedure.
10. Modifier 81 - Minimum Assistant Surgeon: Use this modifier if a minimum assistant surgeon was required for the procedure.
11. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): This modifier is used when an assistant surgeon is required because a qualified resident surgeon was not available.
12. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Apply this modifier if a PA, NP, or CNS assisted in the surgery.
Each of these modifiers serves a specific purpose and should be used according to the circumstances surrounding the procedure to ensure accurate billing and reimbursement.
CPT code 46614 is reimbursed by Medicare. The code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) and local coverage determinations. Healthcare providers should consult their regional MAC for specific coverage and payment information related to CPT 46614.
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