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!