tci General Surgery Coding Alert - 2005 Issue 9

READER QUESTIONS: Mark India Ink on Claim With 45381

Question: While the surgeon was performing a colonoscopy on a patient, he noticed a lesion that he marked with an injection of India ink. What is the correct code(s) for this procedure?Rhode Island Subscriber Answer: There is a proper code to report, but your initial claims with India ink tattooing may not be fully reimbursed without an appeal.On the claim, you should report 45381 (Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection[s], any substance) for the colonoscopy with India ink tattooing.Depending on the payer, the claim may be returned minus the India ink reimbursement...

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