We make it easy to find the online medical coding solution with just the features you need! |Learn More >>

Regular Price: $24.95

Ask an Expert Starting at $24.95

Have a medical coding question? Get definitive answers from TCI SuperCoder's Ask an Expert.

Browse Past Questions By Specialty

+View all
Patricia Posted Thu 05th of October, 2017 17:02:10 PM
Is there a code for this procedure without anesthesia? Thanks for your help.
SuperCoder Answered Fri 06th of October, 2017 06:19:34 AM

HELLO

If the manipulation procedure is not extensive and the physician performed no other procedure, you may include it as a part of an E/M service for that encounter. Another option, if you feel the procedure was extensive enough, then it would appropriate to append modifier-52 (Reduced services) with the manipulation CPT code. However, you would need to be prepared to defend the use of that CPT with reduced service modifier with solid documentation. Also, in order to bill manipulation CPT, you need to be careful in using appropriate ICD-10 which should show the medical necessity of the service performed.

HOPE THIS HELPS!

Patricia Posted Mon 23rd of October, 2017 15:32:25 PM
Sorry it took so long for my reply. Thanks for your help. What is that CPT code?
SuperCoder Answered Tue 24th of October, 2017 00:52:57 AM

HELLO

Rectal manipulation CPT codes range between 45900 and 45915 which can be selected depending on the documentation. The services in these CPTs are performed under anesthesia. Therefore, as discussed above, depending on the extent of the procedure you may add modifier 52 or if the procedure is not extensive enough and the physician performed no other procedure, you may include it as a part of an E/M service for that encounter.

HOPE THIS HELPS!

Related Topics