Q&A: Reporting multiple excisions via the same method with CPT codes

October 4th, 2022

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

Article Overview

This article addresses a CPT coding question involving colonoscopy procedures when more than one lesion is removed or biopsied using the same method in the same region. It discusses the general topic of procedure reporting, relevant CPT endoscopy code examples, and the role of National Correct Coding Initiative guidance and modifier use in specific circumstances. It is intended for coders, auditors, and reimbursement professionals who work with gastrointestinal endoscopy claims and CPT compliance.

Why This Topic Matters

Correctly reporting colonoscopy procedures affects claim accuracy and compliance. The article highlights how coding guidance and NCCI edits can influence whether multiple services are reported separately or as a single unit.

What You Will Learn

  • How the article frames reporting multiple endoscopic services in the same encounter
  • Which coding resources are referenced for colonoscopy procedure reporting
  • What kinds of modifier and edit guidance are discussed at a high level
  • How the article situates the question within CPT and NCCI compliance topics

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Revenue cycle professionals
  • Gastroenterology billing staff

Codes Discussed

  • CPT: 45380
  • CPT: 45385

Modifiers Discussed

  • CPT: -59
  • CPT: -XS
  • CPT: -XE

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