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Reader Questions: Bill All Scopes if No Parent

Published in Gastroenterology Coding Alert, June 2010

Question: The gastroenterologist performs a biopsy with sigmoidoscopy followed by an endoscopic removal of a foreign body. Which codes should I report for these procedures?
Montana Subscriber
Answer: In this case, neither scope is the base or parent procedure. Therefore, you would report both 45331 (Sigmoidoscopy, flexible; with biopsy, single or multiple) and 45332 (… with removal of foreign body).
Bottom line: If your gastroenterologist performs two scopes in the same family, neither of which is the base [...]


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Published in Gastroenterology Coding Alert, June 2010
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