tci General Surgery Coding Alert - 2009 Issue 12

Reader Questions: Not Every Component Is Separately Reportable

Question: One of our physicians is doing the following procedure on a patient: "Exam under anesthesia, sigmoidoscopy, and a dye test for vaginal fistula." The dye test is what has me stumped. My physician explained to me that they soak dye in gauze and insert it into the vagina to show if the patient has a fistula or not. How should I code the dye test? Maryland Subscriber Answer: Simply putting a dye-soaked gauze in the vagina is not going to be separately codeable. Assuming that, as part of the sigmoidoscopy, the surgeon is using the dye and...

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