tci General Surgery Coding Alert - 2024 Issue Q1

Don’t Let the Device Dictate Code Selection

Bleeding control is just one use. You just learned in “Solution 2” of the preceding article that the type of device used to control bleeding may point to a specific CPT® code. However, simply noting mention of a device in the op report, such as an endoclip, does not necessarily lead to a bleeding control code. For instance: Surgeons may commonly use an endoclip to mark something in the gastrointestinal (GI) tract for future identification or imaging, but you shouldn’t use a bleeding control code in such a scenario. Problem: Without a specific CPT® code for marking...

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