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Patricia Posted 1 Year(s) ago
Is there a code for this procedure without anesthesia? Thanks for your help.
SuperCoder Posted 1 Year(s) ago

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 1 Year(s) ago
Sorry it took so long for my reply. Thanks for your help. What is that CPT code?
SuperCoder Posted 1 Year(s) ago

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!

Posted by Patricia, 1 Year(s). There are 4 posts. The latest reply is from SuperCoder.

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