• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Colonoscopy Question

kandigrl79

Guru
Messages
118
Location
Philadelphia
Best answers
0
If, for example, a physician performs biopsy of the cecum using cold forceps and then does a SPOT injection in the cecum for tattooing, the physician CANNOT bill 45380, 45381 -59 can they? There is no CCI edit for these two codes, but I my understanding of modifier 59 was that it indicates a separate site, but if both procedures were performed in the same site, only the biopsy would be billed correct? Or actually, considering that there is no CCI edits for this, I guess both procedures would be billed without modifier 59??? I don't know, I'm not all that familiar with endoscopic GI procedures and I'm getting confused. HELP!
 
Top