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#1
03-04-2009, 08:20 AM
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45900-52
Our pediatrician saw a 7 yr old boy in the office with a rectal prolapse. She did a reduction at that time.
The only code I can find for this procedure is 45900 but it is "with anesthesia" which was not done in this instance. Others have suggested I bill the code with the 52 modifier for 'reduced services' but I'm not sure that is appropriate to bill. Is a procedure out there that I missed or should I be billing the 45900-52 or just a high level O/V? Anyone have any insight to this? Thanks in advance for your comments. Susan
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Susan Hedges CPC, RMC 
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#2
03-05-2009, 08:46 AM
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E/M only
I'd code the appropriate level E/M only.
F Tessa Bartels, CPC, CEMC
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Many thanks
