tci Part B Insider - 2014 Issue 33

Reader Question: Show Necessity for Multiple Polyp Removal Codes

Question: Recently, our gastroenterologist removed three polyps during a colonoscopy procedure using a cauterization. In another patient, he had to use a hot forceps for two polyps and an APC for another lesion in the same session. Can I report multiple codes in both these scenarios? Answer: No. You cannot report multiple codes for the first case where the doctor performed a colonoscopy to remove more than one polyp using one method in the same session. The reason is that according to fair practice rules, you can only report a single code for polyp removal per session irrespective of...

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