How do we code colonoscopy with biopsy and removal of polyps by hot biopsy? Currently we use codes 45380 (REVISED IN 2015) and 45384 (REVISED IN 2015). Are these codes correct? ...
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Article Overview
This article addresses a common colonoscopy coding scenario involving biopsy and hot biopsy removal of polyps. It is aimed at coders and billing staff who need to understand the applicable CPT framework, the procedural distinction between biopsy and polyp removal, and a note about revised code status. The discussion is brief and practical, focusing on whether the reported codes align with the described procedures.
Why This Topic Matters
Colonoscopy procedure reporting can affect claim accuracy, compliance, and downstream reimbursement. Articles like this help coding professionals identify the correct CPT framework for mixed endoscopic procedures and recognize when revision notes may be relevant.
What You Will Learn
- How the article frames colonoscopy coding when both biopsy and hot biopsy polyp removal are involved.
- Which CPT context the article references for this colonoscopy scenario.
- What kind of procedural distinction the article discusses between biopsy and lesion removal.
- Why revised-code notes may matter in the context of code selection.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Gastroenterology practice staff
Codes Discussed
Modifiers Discussed
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