tci General Surgery Coding Alert - 2004 Issue 9
Reader Question: GI Bleed Can Mean a 2-Code Colonoscopy Claim
Question: Our surgeon performed a colonoscopy, during which he removed a polyp using the snare technique in the transverse colon. He also used bipolar cautery to stop gastrointestinal bleeding. How should I code for this scenario? Missouri SubscriberAnswer: As long as your documentation proves two separate sites, this is a two-code claim -- but make sure you remember your ICD-9 codes. You should: Report 45382 (Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding [e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator]) with the proper ICD-9 code to reflect the site that was...
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