AHA Coding Clinic® for HCPCS - 2011 Issue 4; ASK the EDITOR

Colonoscopy for ablation, destruction, and removal

Our facility needs clarification regarding how to correctly assign colonoscopy codes for ablation, destruction, and removal. The CPT code narrative for 45383 states, Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique. However, if a polyp is ablated via hot biopsy forceps or snare, would CPT codes 45384 or 45385 be the correct codes? There does not appear to be CPT codes for ablation.  ...

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