tci General Surgery Coding Alert - 2004 Issue 6

Reader Question: Report 45381 for Colon Tattooing

Question: How can I code for colonoscopy with tattooing using India ink?Arkansas Subscriber Answer: The appropriate code for colonoscopy with tattooing is 45381 (Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection[s], any substance). This code was new to CPT in 2003. During the procedure, the surgeon marks a lesion using India ink for future surgical removal (for instance, if the lesion is too flat for excision using routine snare technique). ...

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