Wiki Colonoscopy -the transverse colon

[GSCoder07]

I have a case where there was a biopsy and polyp removal from the transverse colon. Are we still able to bill 45385 & 45380-59 even though both procedures were in the same area of the colon?
FYI...The biopsy was to confirm if the patient had Crohn's disease.
Thank you in advance!

 

[CodingKing]

The following passage from the NCCI Manual will answer your question on when mod 59 is appropriate on the 48380.

CHAPTER V

Section H

#23

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) is often bypassed by utilizing modifier 59. Use of modifier 59 with the column two CPT code 45380 of this NCCI PTP edit is only appropriate if the two procedures are performed on separate lesions or at separate patient encounters.