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Sherry Posted Thu 25th of January, 2018 12:25:54 PM
Good Afternoon, I need asssitance with the Double balloon enteroscopy; the procedure report is as follows: The Colonoscopy was introduced theorugh the enterotomy and advanced to proximal ileum. Findings: Anus closed; scope advanced via ileostomy. The proximal ileum contained a single medium-sized angioextasia without bleeding. Coagulation for tissue distruction using argon plasma at 0.5 liters/minute and 20 watts was successful. Are we to bill this as 44380 and 44799 to represent the coagulation part of it? Do we add modifier 22 since more was done to this ileostomy? I just need guidance as to how we should be billing this procedure done.
SuperCoder Answered Mon 29th of January, 2018 01:58:58 AM

As per documentation provided, codes 44380 and 44799 should be approipriate without appending modifier 22. When using an unlisted procedure code, a cover letter should be included, stating why you are using the unlisted procedure code. This separate report should explain, in simple, straightforward language, exactly what the physician did. Thank you.

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