tci Outpatient Facility Coding Alert - 2012 Issue 1

Reader Question: Multiple Techniques Can Mean Multiple Codes for Polyp Removal

Question: During a colonoscopy, the gastroenterologist used a snare to remove two polyps (one was in the ascending colon, the other in the descending colon). Then he biopsied a large mass in the sigmoid colon. How do we code this since he used two different techniques during the same procedure?Wyoming SubscriberAnswer: You're correct in paying attention to the different techniques the surgeon used. When he uses different techniques to remove the polyps, you can submit the applicable code for each technique. In your scenario, report 45385 (Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor[s], polyp[s], or...

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