AMA CPT® Assistant - 2007 Issue 1 (January)

Surgery: Digestive System (January 2007)

January 2007 page 28c Coding Communication:Surgery: Digestive System Question Our surgeon performed a sigmoidoscopy with endoscopic biopsy and, during the excision of the tissue specimen, the patient began bleeding from the site of the excision that was controlled endoscopically. Is it appropriate to report code 45334, Sigmoidoscopy, flexible; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator), to describe the procedure performed? If not, what is the appropriate code? AMA Comment It would be inappropriate to report code 45334 because any control of iatrogenically caused bleeding is included in the procedure. Therefore...

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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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