AMA CPT® Assistant - 2017 Issue 1 (January)

Surgery: Digestive System (Q&A) (January 2017)

January 2017 page 6b Surgery: Digestive System Question: What is the appropriate CPT code to report a colonoscopy during which two flat polyps in the transverse colon were removed via a saline injection-lift technique using a hot snare? Is a colonoscopy with a polypectomy removed by injection of epinephrine for a lift polypectomy reported differently? Answer: Submucosal injection of substances, whether saline or epinephrine, to lift the polyp and facilitate a polypectomy, is reported with code 45381, Colonoscopy, flexible; with directed submucosal injection(s), any substance. The polypectomy would be reported with code 45385, Colonoscopy, flexible; with removal of tumor(s)...

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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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