Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Colonoscopy

Eleen Posted Wed 26th of October, 2016 15:53:06 PM
A 10 mm polyp was found in the ascending colon. The polyp was semi-sessile. The polyp was removed with a hot snare. Resection and retrieval were complete. Fulguration to ablate the lesion by argon plasma at 0.5 liters/minute and 20 watts was successful. To prevent bleeding after the polypectomy, one hemostatic clip was successfully placed. There was no bleeding at the end of the procedure. Based on the documentation above, would you code 45385 for Snare AND 45388 for ablation? Can we code both for the same polyp?
SuperCoder Answered Thu 27th of October, 2016 06:56:27 AM

Hi,

CPT Code 45385 and 45388 will be coded separately using 59 modifier.

Hope this helps!

Eleen Posted Thu 27th of October, 2016 09:19:09 AM
Yes it does! Thanks for the quick response!
SuperCoder Answered Thu 27th of October, 2016 23:58:09 PM

Happy to help!

Related Topics