tci Outpatient Facility Coding Alert - 2013 Issue 9

Reader Question: Reporting Same Session Ablation and Snare Techniques? Not So Fast

Question: Are there specific times when a physician can use the ‘45383’, rather than ‘45385’? I read that if the polyp is small (1-3mm) and cannot be removed totally by snare, then ‘45383’ can be used.Michigan Subscriber Answer: The term “ablation” more commonly describes an erosive or corrosive destruction of a lesion by one of few methods, such as laser, cryotherapy, or chemotherapy. If the surgeon describes a polyp ablation by any of those methods, 45383 (Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor[s], polyp[s], or other lesion[s] not amenable to removal...

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