AMA CPT® Assistant - 2007 Issue 11 (November)

Surgery: Digestive System (November 2007)

November 2007 page 9 Coding Communication:Surgery: Digestive System Question: CPT Assistant July 2004 advises to report CPT code 45380, Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple, for removal of colon polyp described as a cold biopsy with forceps. Should the same reasoning be used to assign CPT code 43239, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple, for esophagogastroduodenoscopy (EGD) with removal of gastric polyp as a cold biopsy with forceps? Answer: From a CPT coding perspective, EGD, cold biopsy removal of a lesion...

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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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