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Selina Posted Tue 28th of November, 2017 22:35:21 PM
Hello, Is there a CPT code for Sigmoidoscopy with Maloney dilation? We are only seeing the balloon dilation. The doctor also performed a bx, so 45331 is already being billed. They would like to use 45303 (procto with dilation that includes bougie). THank you for your guidance.
SuperCoder Answered Wed 29th of November, 2017 00:28:17 AM

Hi,

There is a CCI conflict with codes 45331 and 45303 and modifier is not allowed. 

Maloney dilation is a type of bougie dilation, but i could not find any code for bougie dilation with sigmoidoscopy. So, u need to report only 45331 or you can report unlisted code 44799 for maloney dilation.

Thanks

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