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Wiki Colonoscopy w/Polypectomy and India Ink

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KScheerer

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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
 
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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