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AVM's and Polyps

J

jojogi

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65
Location
Jonesboro, GA
My GI doc treated a non-bleeding AVM of the duodenum with heater probe and he also ablated a polyp of the duodenum using gold probe. I am thinking that even though it was the same site I would code for both the AVM and the polyp using 43258, 43258-59. Is this correct or should I just use 43258 once. Thanks.
 
CCI edits state if the same intervention (e.g. lesion ablation) is performed on multiple lesions / polyps, it is only reported once. Modifier 59 would be used in this scenario to indicate the service was performed at a separate session on the same date.
 
I am confused when you say seperate session. He did them at the same time so does that mean that I would only report the code once for this visit?
 
Separate session would be a situation where the patient was brought back for a second procedure after the first one has ended. The scenario you describe is coded as 43258 once.
 
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