Anyone getting denials for different techniques on different polyps of same location of colon.
If you have two different size of polyps in same location but each done by a different techniques, do you just bill for one technique if bundle or bill for both with mod xs or 59 if bundled?
example 45380/45385: NCCI manual states:
25. The NCCI PTP edit with Column One CPT code 45385 (Flexible colonoscopy with removal of tumor(s), polyp(s), or lesion(s) by snare technique) and Column Two CPT code 45380 (Flexible colonoscopy with single or multiple biopsies) may be appropriately bypassed using modifier 59 or XS if the 2 procedures are performed on separate lesions. Use of modifier 59 or XE is appropriate if the 2 procedures are performed at separate patient encounters.
If you have two different size of polyps in same location but each done by a different techniques, do you just bill for one technique if bundle or bill for both with mod xs or 59 if bundled?
example 45380/45385: NCCI manual states:
25. The NCCI PTP edit with Column One CPT code 45385 (Flexible colonoscopy with removal of tumor(s), polyp(s), or lesion(s) by snare technique) and Column Two CPT code 45380 (Flexible colonoscopy with single or multiple biopsies) may be appropriately bypassed using modifier 59 or XS if the 2 procedures are performed on separate lesions. Use of modifier 59 or XE is appropriate if the 2 procedures are performed at separate patient encounters.