tci General Surgery Coding Alert - 2021 Issue Q2

You Be the Coder: Scope Guides Anorectal Biopsy Code

Question: Which code should we use for a case when the surgeon performs an anorectal biopsy? Louisiana Subscriber Answer: You need to consider several details from the op report before you can select the proper code for an anorectal biopsy. Scope: If the surgeon takes a biopsy as part of a scope procedure, you should choose the appropriate code base on the type of scope, as follows: 46606 (Anoscopy; with biopsy, single or multiple) 45305 (Proctosigmoidoscopy, rigid; with biopsy, single or multiple) 45331 (Sigmoidoscopy, flexible; with biopsy, single or multiple) 45380 (Colonoscopy, flexible; with biopsy, single or multiple) You...

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