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Colonscopy with snare polypectomy and electrocoagulation

Michelle Posted Tue 25th of June, 2013 18:28:24 PM

I am billing a 45385 but am not sure about the electrocoagulation portion...would I use a 45383 or 45382?

SuperCoder Answered Thu 27th of June, 2013 01:22:20 AM

From the report, please check whether electro coagulation was done as colonoscopy with control of bleeding (45382) to stop postoperative gastrointestinal bleeding.If the control of bleeding occurs during the same operative session, then the service is included in the primary procedure (45385). If the control of bleeding occurs on the same day but during a separate operative session, then you would attach modifier 79 (Unrelated procedure or service by the same physician during the postoperative period) to 45382 (Colonoscopy with control of bleeding [e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator]) to indicate that it was done in a different session from the initial endoscopy. If the bleeding is first recognized and treated outside the post-operative period on a different calendar day, then it would be appropriate to file a claim for control of bleeding using 45382.

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