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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


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!

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