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Colon polyp removal, hemoclip applied, area injected.

Mary Posted Thu 20th of February, 2014 09:24:04 AM

I am coding a colon polyp removal, a hemoclip applied and the area injected with saline solution. The amount of time used was 50 minutes, do I use modifier 22.

SuperCoder Answered Thu 20th of February, 2014 17:00:33 PM

Endoclips or hemoclips are just a closure tool that is used as part of a procedure. There are no separate CPT® codes for the placement of an endoclip during a procedure. As per your description for the procedure, your gastroenterologist used the hemoclip to cover the defect that was formed due to the resection procedure that he performed to remove the polyp. As it is part of the procedure, you do not have the ability to report the placement of the hemoclip separately using a control of bleeding code such as 45382 (Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding [e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator]).

Instead, you will only have to report the procedure code that your gastroenterologist performed. So, you will only have to report 45385 (Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor[s], polyp[s], or other lesion[s] by snare technique).

I have taken the example of 45385

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