tci General Surgery Coding Alert - 1999 Issue 5

Reader Question: How to Bill for Two Separate Colonoscopies

Question:, Our carrier has told us to file colonoscopy code 45384 (colonoscopy, with removal of tumor[s], polyp[s], or other lesion[s] by hot biopsy forceps or bipolar cautery) and 45385 (coloscopy, with removal of tumor[s], polyp[s], or other lesion[s] by snare technique) without modifiers. These two procedures are done at the same time, one using snare removal and the other hot biopsy removal of lesions. We also were told to reduce the second procedure by the base price and charge the difference. Having done so, the carrier still isnt paying us for the second procedure. How do we get paid...

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