tci Outpatient Facility Coding Alert - 2014 Issue 5

Reader Question: Code Your Colonoscopy With 45383 and 45381

Question: The doctor used an Olympus scope guide in the transverse colon. The report suggests that the lesion was at approximately 9 cm in the rectosigmoid or upper one third of the rectum. A rotable snare was used, the base was encircled and the polyp removed. Then another small piece that was still on the wall was removed, thereby, removing the entire lesion. The lesion was retrieved and put in a pathology bottle. The portion was again examined. There was a diagnosis of dysplasia, and Argon plasma coagulation (APC) was performed. Using APC with 360 head post-polypectomy setting, the...

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