Coding rules for modifier 33 and modifier PT - The Intake - Tebra
Nov 19, 2025 · The PT modifier is a Level II code in the HCPCS system. It is used only on Medicare claims to show that a screening colonoscopy began as a preventive service under …
PT Modifier Question | Medical Billing and Coding Forum - AAPC
May 20, 2021 · For Medicare only, the ASA code will change from 00812 to 00811, but the modifier PT is appended for all payors when a screening becomes diagnostic resulting in a …
What Is the PT Modifier for Colonoscopy Billing?
Nov 26, 2025 · The PT modifier, which stands for “Colorectal Cancer Screening Test; converted to diagnostic test or other procedure,” signals a procedural shift that occurs during a single …
PT Modifier vs Modifier 33: Screening Code & Colonoscopy Modifier …
May 15, 2025 · The PT modifier is a Level II HCPCS code used to indicate that a screening procedure—such as a screening colonoscopy—was initiated with preventive intent but …
PT Modifier Description, Applicable Scenarios & Guidelines
Feb 12, 2025 · Modifier PT is used to indicate a colorectal screening converted to a diagnostic/therapeutic service, ensuring patients aren’t charged co-pays or deductibles.
PT - JE Part B - Noridian
May 14, 2025 · 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 …
What Is The Pt Modifier Colonoscopy - snhhealthcare.com
Sep 29, 2025 · The PT modifier (colorectal cancer screening test converted to diagnostic procedure) is added to relevant CPT ® codes to denote that a scheduled screening …
Anesthesia Billing & Coding Guide for Colonoscopy (2025)
Dec 9, 2025 · Modifiers* (PT, 33, provider modifiers) are applied incorrectly. Anesthesia CPT codes 00812 and 00811 are confused. This guide provides a clear, step-by-step framework for …
Preventive Services & Screenings - Novitas Solutions
When a screening colonoscopy becomes a diagnostic colonoscopy, moderate sedation services (G0500 or 99153) are reported with only the PT modifier; only the deductible is waived.
Jurisdiction M Part B - HCPCS Modifier PT - Palmetto GBA
Apr 10, 2023 · This tool provides guidelines for documenting and correctly submitting CPT and HCPCS modifiers on your claims. You may search below by modifier.