• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 45381, 45380

ENDOCODER

Networker
Messages
44
Location
Sterling Heights, MI
Best answers
0
Would like some help.
Doc did screening colon, scope to ascending colon due to ulcerated mass. The mass caused a complete obstruction. The report says scope could not traverse the lesion and exam could not be finished. Biopsies taken in the ascending and a India ink injection applied for tattooing. Physicians recommended pt. return in a year.
Would 45380 74 and 45381 74, 59 be correct?
 
Yes, I would use 45380, 45381 . However , billing for the facility in the modifier usage would differ from the prof. fee. Doctors' billing would be 45380, 45381 (53,59). Z12.11 would be the primary dx, followed by the ulcerated mass and off course additionally, 33 for private Ins., Screening turning diagnostic.
 
Top