tci General Surgery Coding Alert - 2004 Issue 1

You Be the Coder: Control of Bleeding With Surgical Procedures

Question: When can we report the control of bleeding separately, such as during colonoscopy?Florida Subscriber Answer: Here's a rule of thumb when trying to determine whether you can separately report your surgeon's measures to control bleeding: If the procedure causes the bleeding, then managing the bleeding is included in the procedure fee. For example, the surgeon must inject epinephrine to control bleeding that starts during a polyp removal by snare technique. The control of bleeding is included in the code for the tumor removal, 45385 (Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor[s], polyp[s], or...

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