Surgery Digestive System, 45380, 45384, 43239, 43250 (Q&A) (February 1999)

February 1999 page 11-end Coding Consultation Surgery Digestive System, 45380, 45384, 43239, 43250 (Q&A) Question If a colonoscopy with biopsy is performed (45380), and the same lesion is subsequently removed during the same operative session by hot biopsy forceps (45384), is it appropriate to report both codes (45380 and 45384) to describe this service? Please address this same scenario related to EGD with biopsy (43239) with subsequent removal of the same lesion during the same operative session by hot biopsy forceps (43250). AMA Comment From a CPT coding perspective, if the same lesion is biopsied, and subsequently removed...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a CPT coding consultation focused on digestive system endoscopy scenarios involving biopsy and lesion removal during the same operative session. It explains the general coding issue, references when modifier -59 may be considered in distinct-service situations, and is aimed at coders, billers, and clinicians working with GI procedure reporting. The piece is relevant for understanding how the article frames same-site versus separate-site procedures without replacing the full premium guidance.

Why This Topic Matters

It helps readers identify whether the article addresses endoscopy coding questions involving biopsy, removal, and distinct procedural service reporting in digestive system cases.

What You Will Learn

  • How a CPT coding consultation addresses same-session digestive endoscopy scenarios.
  • The general topic of reporting biopsy and lesion removal services.
  • The role of modifier -59 in distinct procedural service discussions.
  • The article's focus within CPT Assistant guidance from February 1999.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Gastroenterology practices
  • Physician documentation staff

Codes Discussed

Modifiers Discussed


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