46221 vs 45398

ksb0211

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If a colonoscopy with biopsies are performed and then the doctor goes BACK IN with anoscope and bands a couple hemorrhoids....... should we use the 45398?
The hospital states that because the primary procedure is a colonoscopy that it should be billed as 45398, but I contend that because he actually states in his operative report, after he removed the polyps and performed biopsies........."We then went up with the anoscope and banded hemorrhoids X2" that we should use 46221.

Any insight would be appreciated.

Thanks.
 
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