Colonoscopy w/Polypectomy and India Ink

Kelly Scheerer

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Local Chapter Officer
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PLEASE HELP!

CPT codes 45385 and 45381 are not bundled per NCCI edits. However, if a physician removes a polyp and tattoos the same lesion during the same operative session wouldn't that be considered inclusive of one another?

Any help is greatly appreciated.

Kelly Scheerer, CPC
 

scorrado

Expert
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293
Location
Bridgewater, VA
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The 45381 is not included and when I bill it I bill it with a -59 modifier. I have not had any issues getting it paid but I can also see how -51 would work also because it is not one of the procedures that is marked as -51 exempt.
 
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