• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Dx Colonoscopy - EMR ( Endoscopic Mucosal Resection) Techniques

Albany, OR
Best answers
I would greatly appreciate some help finding sources to clarify required verbiage in order to meet a 45390 for endoscopic mucosal resection. Our whole coding department is looking for some clarity as some of our providers tend to be vague case by case. My understanding is that AAPC recommends the lift, demarcate, piecemeal, and APC/cautery type description. I cannot seem to find this on AAPC or elsewhere (coding corner, ASGE, etc.) and I have not found clear answers for what might fall short. At times, depending on documentation, we are looking at a 45385, 45381-59 for the same lesion if it doesn't quite meet the language we are looking for at this time. Any information or resources would be appreciated. Thanks!