Gastroenterology Coding Alert

Reader Questions:

Consider Modifier 78 for Unplanned Return to OR

Question: We performed a colonoscopy at 9 a.m., but the patient returned to our endoscopy lab at 3 p.m. to control a bleeding polypectomy site in the ascending colon. Which code should we report for this? The same gastroenterologist performed both services. Colorado Subscriber Answer: You should use code 45382 (Colonoscopy, flexible; with control of bleeding, any method) for the [...]
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