November 2007 page 9
Coding Communication:Surgery: Digestive System
Question: CPT Assistant July 2004 advises to report CPT code
45380, Colonoscopy, flexible, proximal to splenic flexure; with
biopsy, single or multiple, for removal of colon polyp described
as a cold biopsy with forceps. Should the same reasoning be
used to assign CPT code 43239, Upper gastrointestinal
endoscopy including esophagus, stomach, and either the
duodenum and/or jejunum as appropriate; with biopsy, single
or multiple, for esophagogastroduodenoscopy (EGD) with
removal of gastric polyp as a cold biopsy with forceps?
Answer: From a CPT coding perspective, EGD, cold biopsy
removal of a lesion...
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