tci General Surgery Coding Alert - 2024 Issue Q2

Reader Questions: Code This Complication Correctly

Question: The surgeon carried out a flexible sigmoidoscopy with the initial plan of band ligation for internal hemorrhoids. However, during the process, the surgeon inadvertently triggered variceal bleeding. This was managed with sclerotherapy, and as a result, the band ligation was not completed. Should I report 45350 and 46500? North Dakota Subscriber Answer: No, you should not report both 45350 (Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids)) and 46500 (Injection of sclerosing solution, hemorrhoids) for this case. Instead, you should report 45350 with modifier 53 (Discontinued procedure). You should get some reimbursement for the service, but the amount will...

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