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UpperEndoscopy with Polypectomy and then prophylactically clipped with Hemoclips

Carol Posted Mon 21st of November, 2011 19:45:54 PM

I am not certain that there is a code for this but I will ask anyway. If an Upper endoscopy with polypectomy is performed via snare technique and then prophylactically clipped with Hemoclips for good hemostatic control (there was no bleed) - is there a code for the clips? The patient was off his Coumadin for this procedure.

SuperCoder Answered Mon 21st of November, 2011 22:10:35 PM

Several Current Procedural Terminology (CPT) codes as below exist to report endoscopic clipping for control of bleeding. There are no established CPT codes for other applications of endoscopic clipping.

CPT codes for endoscopic control of bleeding
43227 Esophagoscopy with control of bleeding
43255 EGD with control of bleeding
44366 Enteroscopy with control of bleeding
45334 Flexible Sigmoidoscopy with control of bleeding
45382 Colonoscopy with control of bleeding

Catherine Answered Wed 23rd of November, 2011 03:46:01 AM

Sunjit is correct. However. If polypectomy is performed with snare, you cannot code for the clipping of the site. Reason: the bleeding was caused by polypectomy. If there was bleeding prior to polypectomy, you could use appropriate control of bleeding CPT. Remember the supporting diagnosis for bleeding.

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