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45385 vs 45383??

C

ChristineA

Networker
Messages
49
Location
Saint Joseph, MO
if the report says fulguration to ablate the lesion by snare do you use code 45383 or 45385?
 
ChristineA said:
if the report says fulguration to ablate the lesion by snare do you use code 45383 or 45385?
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You need to ask the doctor because to ablate/fulgurate means to completely destroy. When you do this there is no tissue left to biopsy. Snare on the other hand is a method of removing a polyp and hopefully retrieving it to send for pathology. The sample of the op note you have provided is conflicting. What is ablated/fulgurated or was it removed by snare? I sincerely suggest you query the doctor for a clearer explanation.

Good luck!

Caprice Walder, CPC
 
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