• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Colonoscopy w/ Snare Biopsy - missing path

R

Radiant

Guest
Messages
1
Location
Battle Creek, MI
When working a procedure where the documentation supports 45385 but the resulting lab sample is lost - is the procedure still coded snare biopsy?

How does this effect dx?
 
Yes the procedure would still be coded as so if the doctor indicated within his notes that he use snare technique to left a polyp. The technique of how the procedure was done doesn't necessarily determine the DX, impressions or findings of that procedure. So with the sample being lost the DX would then in return be the indications of WHY that PT had the procedure done.
 
You must log in or register to reply here.
Top