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Sherry Posted Tue 06th of March, 2018 15:27:01 PM
Physician performed an SBE (small bowel endoscopy) on a patient, they did the following: "One oozing superficial duodenal ulcer, D-3/4 region, with a visible vessel was found in the fourth portion of the duodenum. The lesion was 13 mm in largest dimension. Fulguration to ablate the lesion by argon plasma at 1.2 liters/minute and 20 watts was successful. Estimated blood loss was minimal. clip will not properly deploy with the angulated scope. tattoo applied close to this main bleeding point. one clip remains slightly distal to this bleeding point. the lumen is covered in clot. this lesion may be a Dieulafoy." Can we bill this as 44366 and 44799 since there isn't a code for Tattoo; OR would you bill this as an Ablation instead of a bleeding control with 44799?
SuperCoder Answered Wed 07th of March, 2018 02:01:02 AM

Hi Sherry,

You should report code for lesion ablation (e.g. 44369). Code 44366 has CCI edit with 44369 so you should not report 44366 with 44369. You may report unlisted code for tattoo i.e. 44799.

Please feel free to write if you have any question.

Thanks.

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