Sherry Posted Tue 12th of December, 2017 14:21:43 PM
I have a Colonoscopy that was done, during the proceudre, the physician states the following: "An area of thickened folds of the mucosa was found in the descending colon. Area was successfully injected with 10 mL eleview for drug delivery. No polyp."
Are we to code this as an EMR (45390) since Eleview is a submucosa injectable composition 10 mL to faciliate endoscopic resection procedures? Or do I code this as an injection code since there is no polyp?
SuperCoder Answered Wed 13th of December, 2017 02:50:34 AM
As per the information provided above, there is no resection performed, so the appropriate code to bill will be CPT 45381 (colonoscopy, flexible, with directed submucosal injection (s), any substance.
However, if your documentation says resection of mucosal membrane, then we can go for CPT 45390.
Also, do not bill 45381 in conjuction with 45390.
FYI: Eleview is a colored sterile emulsion used as a submucosal injection composition that helps clarify the area where it is injected. It just assists the endoscopist in visualizing the margins of the target lesion and performing the resection procedure, decreasing the risk of damaging the muscular layer or perforation.
Please feel free to ask for any further query.