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Gastroenterology Coding Alert

Readers Query:
Control of Bleeding Takes Precedence in Colonoscopy

Question: Our GI just performed a colonoscopy on a Medicare patient for control of bleeding. The provider encountered and decided to remove a polyp. I am planning to report 45382 and 45385. Which codes should I bill first and with what modifier? Idaho Subscriber Answer: You should code 45382 (Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding [eg, injection, bipolar [...]