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Documentation requirements The operative report should clearly document: Reason the procedure was discontinued Extent of insertion (e.g., advanced to the splenic flexure) Clinical follow-up plan (e.g., repeat colonoscopy after improved bowel preparation) This documentation supports the use of modifier 53 if the claim is audited
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June 13, 2019 – All charges dropped – new investigation announced January 14, 2021 – New charges filed against nine defendants
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