tci Part B Insider - 2003 Issue 20

Bill 46621 Along With E/M Services - Avoid Bundling Edits

When your surgeon evaluates a new patient or an established patient with a new problem, you can report an E/M services and diagnostic tests. But you can also report hemorrhoid procedures separately in some cases, says Kathleen Mueller, a general surgery coding and reimbursement specialist in Lenzburg, Ill. For example, your surgeon sees a patient with rectal bleeding. She performs normal E/M services, plus a diagnostic proctosigmoidoscopy (45300), sigmoidoscopy (45330) and possibly even colonoscopy (45378) to identify some other cause for the bleeding besides hemorrhoids. Then the surgeon ligates several hemorrhoids using rubber bands (46221, Hemorrhoidectomy, by simple ligature...

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