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Control of bleeding

Robyn Posted Thu 04th of December, 2014 10:29:09 AM

Pt presented for lower GI bleed post polypectomy. Epinephrine was injected for hemostasis. Two endoclips were unsuccessfully applied to the site as well. Should I bill 45381 or 45382? Or both?

SuperCoder Answered Fri 05th of December, 2014 07:46:09 AM

SuperCoder Answered Fri 05th of December, 2014 07:50:16 AM

Thanks for your question.

If endoclips were unsuccessfully applied, you should not bill for them, only fully successful procedure should be coded here that is 45381.

If a provider attempts several procedures in direct succession at a patient encounter to accomplish the same end, only the procedure that successfully accomplishes the expected result is reported. Generally, this occurs when a less extensive procedure fails and requires the performance of a more extensive procedure. A failed procedure followed by a more extensive procedure should not be reported separately.

Hope it helps!

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