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Colonoscopy with BICAP ablation of AVM

Thomas Posted Wed 01st of April, 2015 16:10:18 PM

What CPT code would be used for Medicare for Colonoscopy w/BICAP ablation of AVM's.
45383 was replaced in 2015 with a new code and I used 45388 but Medicare denied stating it was an invalid CPT code.
Please advise correct CPT code replacement for 45383. Thank!
Oklahoma subscriber

SuperCoder Answered Wed 01st of April, 2015 16:53:55 PM

Thanks for your question. G6024; Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique for reporting 45388 to Medicare. I would advise you to escalate the facility claim because several people are having problems with denials on the facility side when trying to bill the replacement code 45388.

Thomas Posted Wed 01st of April, 2015 17:16:26 PM

Not sure what you mean by escalate the facility claim. I spoke with Medicare and they said claim was denied and we need to use a different CPT code. This is for the physician side of the claim billing. Unsure how to handle since Medicare will not provide very much info.

THANK YOU!

SuperCoder Answered Thu 02nd of April, 2015 09:38:36 AM

Since you are billing for the professional services, you should refer to the G code; G6024.

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