tci Outpatient Facility Coding Alert - 2015 Issue 7

Coding Update: Choose From the 4 Colonoscopy Codes for Correct Claims

Pay heed to the physician’s note for method and location. When a physician at your facility performs a colonoscopy -- whether screening or diagnostic -- and removes one or more polyps, you need to zero in on four codes to describe the service. Choosing the wrong code could cost your group more, and failing to report a legitimate additional code could cost you even more. Pay attention to the physician’s documentation about polyp location and removal method, and use that information to pick the right code(s) from the following four coding options. Choose CPT® 45385 for Snare...

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