tci ED Coding & Reimbursement Alert - 2006 Issue 1

You Be the Coder: Choose E/M for Fecal Disimpaction

Question: The ED physician performed a manual fecal disimpaction after administering IV MS and Diazepam. I was going to report 45915, but the -under anesthesia- part leaves me stumped. Should I bill this code, or are there other options I should consider?South Carolina SubscriberAnswer: One approach you could use would be to append modifier 52 (Reduced services) to 45915 (Removal of fecal impaction or foreign body [separate procedure] under anesthesia), but the American Medical Association's (AMA) CPT department has stated that the -under anesthesia- term represents work performed in an operating room. Instead, you may want to favor...

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