tci Outpatient Facility Coding Alert - 2013 Issue 2

Reader Question: Be Aware of When to Use Modifiers for Polyp Removal

Question: The gastroenterologist recently performed a polyp removal, using the snare technique, in the ascending colon and then performed an ablation on another polyp in the same area in the ascending colon. Can I bill 45385 for the polyp removal by the snare technique and 45383 for the polyp removed using ablation? If so, should I add any modifiers to 45383?New Jersey Subscriber Answer: When your gastroenterologist removes a polyp using a snare, you will have to report the procedure using 45385 (Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor[s], polyp[s], or other lesion[s] by snare...

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