Colonoscopy with polyp removal and biopsies

askmmbg@gmail.com

Contributor
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If you have one polyp removed during a colonoscopy by snare technique and separate multiple biopsies of aphthpous ulcerations performed, can you bill for both 45385 and 45380. My understanding is the 45380 bundles into the 45385 per CCI but the doctor insists on billing both separate. Anyone have thoughts?
 

Cady4217

Networker
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Rutland, VT
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As far as I have always known, and have only been doing surgical coding for a few years, you can only use -59 on colonoscopies if it is in a separate area. Whether transverse/right/left etc. it has to be done in separate areas to qualify as separate procedures.
 
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