tci Outpatient Facility Coding Alert - 2014 Issue 3

Reader Question: Report Colonoscopy with 45384 - 45385, Plus Modifiers if Needed

Question: A colonoscopy was done in August 2013 on a patient with snare removal of a polyp. The same patient returned in February 2014 for another colonoscopy to remove a polyp which was incompletely removed during the first procedure. How would I code this? Should I use modifier 76? Wyoming Subscriber Answer: For removal of tumors, polyps, or other lesions by various techniques, you can use codes 45384 (Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor[s], polyp[s], or other lesion[s] by hot biopsy forceps or bipolar cautery) and 45385 (… with removal of tumor(s), polyp(s), or other...

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