tci General Surgery Coding Alert - 2004 Issue 7

Reader Question: Get Creative, and You May Get Paid for India ink

Question: A patient reported to the office for a colonoscopy, during which the surgeon used India ink to mark two lesions she removed by snare technique. Should I report the tattooing, or just stick with the base colonoscopy?Montana Subscriber Answer: The answer depends on whom you are reporting the service to. Medicare does not reimburse specifically for India ink tattooing. To further complicate things, there is also no specific CPT code for the procedure, leaving coders with few choices if they want reimbursement for India ink.But there is a code for colonoscopy with injection -- and this...

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