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Utilizing Box 19 for different area of colon w/ICD 10

Robyn Posted Thu 08th of October, 2015 15:31:59 PM

When coding 45385 with 45380-59, I always indicate in box 19 (45385=sigmoid, 45380-59=ascending) which part of the colon the polypectomy & biopsy were done to show that these 2 procedures were not done on the same site/lesion. With ICD-10 having such specific codes for colon polyps (D12.0=benign neoplasm of cecum, D12.4=benign neoplasm of descending colon, etc.) is it still necessary to do this since the ICD-10 codes are indicating the specific areas? And what about when we do several polypectomies & biopsies, some in the same areas but different lesions?

SuperCoder Answered Fri 09th of October, 2015 01:10:55 AM

CPT code 45380 and 45385 are "technique and lesion specific code" not the location specific. CPT code 45380-59 and 45385 can be billed together for 2 different lesion at same location, let say ascending colon (1st lesion = biopsy done, 2nd lesion= snare technique polypectomy). You can use ICD-10 codes for the location and nature of lesion. It is not mandatory to mention the exact location on Claim form box #19.

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