Billing and Coding: Colon Capsule Endoscopy (CCE)

This billing and coding article clarifies that Colon Capsule Endoscopy (CCE) may be coded when optical colonoscopy is contraindicated (use ICD-10-CM Z53.09) or when instrument colonoscopy was attempted but incomplete (use Z53.8). Medical records must be legible, include patient identification and the responsible provider's signature, support the selected ICD-10-CM code(s), and the CPT/HCPCS billed must describe the service; non-covered services must not be billed as covered and require an appropriate modifier.

"CCE is indicated when optical colonoscopy cannot be safely attempted as determined by a board-certified or board-eligible gastroenterologist, a surgeon trained in endoscopy, or a physician with equ..."

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