tci General Surgery Coding Alert - 2015 Issue 7

Reader questions: Look for Separate Scope Services

Question: Our physician recently performed a colonoscopy with polypectomy and also an EGD with ablation of tumor/polyps and a tumor biopsy. How should I code this scenario and in what order? When billing for the colonoscopy, can I report a colonoscopy with injection for the same polyp? Arkansas Subscriber Answer: For the colonoscopy with polypectomy, you should report code 45385 (Colonoscopy, flexible; with removal of tumor[s], polyp[s], or other lesion[s] by snare technique). For the EGD with ablation, you should report code 43270 (Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor[s], polyp[s], or other lesion[s] [includes pre- and post-dilation and...

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