AMA CPT® Assistant - 2012 Issue 4 (April)

Surgery: Digestive System (Q&A) (April 2012)

April 2012 page 17b Question: A patient has angiodysplasia of the intestine and presents for ablation of the same and is not actively bleeding at the time of a small bowel enteroscopy. May code 44378 be reported for control of hemorrhage if the patient has a history of chronic intermittent bleeds due to angiodysplasia or must the patient be actively bleeding? Answer: It is appropriate to report code 44378, Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator), for the treatment...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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