tci General Surgery Coding Alert - 2023 Issue Q2

Reader Questions: Check Out Hot Biopsy Forceps

Question: The surgeon performed a “hot biopsy” for a polypectomy, according to the note. What is a hot biopsy and how would I code this? Florida Subscriber Answer: The hot biopsy technique involves the use of insulated monopolar electrocoagulating forceps to simultaneously biopsy and electrocoagulate tissue. Generally, the procedure is recommended for removal of diminutive polyps and to treat vascular ectasias of the gastrointestinal tract. This technique accomplishes ablation of the neoplastic tissue but provides the sample for the pathologist to diagnose. Because of the risk of delayed perforation or bleeding, hot biopsy forceps are used much less...

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