BX vs Ablation

LORA CRAWFORD

Networker
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East Valley, Tempe AZ
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Hi alll you fabulous coders, I need a little guidance. A doc does a colonoscopy with a piecemeal biopsy (45380 ) then he ablates the rest of the same polyp with several passes of the biopsy forceps. The provider is changing the code to 45383 (ablation of polyp). I don't believe we can code out both since it is the same polyp but shouldn"t it be left at 45380? Any direction would be helpful. Lora
 

jayne

Contributor
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biopsy vs. polypectomy

Since the ultimate procedure is the ablation of the polyp, it is my understanding that you would code the polypectomy. If you take a bite of the polyp for biopsy, then ablate it, you would code only the ablation. If you biopsy a separate polyp or lesion elsewhere in the colon, you could code the biopsy with a -51 modifier. That is my understanding.
 
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