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boozaarn

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When 2 bx's are done, snaring colon polyp - adenomatous and cold bx of colon mass - malignant. (the pt is with anastomosis and hx of colon ca back in 1998) Is it right to charge for both or just for the "significant findings"?


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Me
CPC-H
 
boozaarn said:
When 2 bx's are done, snaring colon polyp - adenomatous and cold bx of colon mass - malignant. (the pt is with anastomosis and hx of colon ca back in 1998) Is it right to charge for both or just for the "significant findings"?


Thanks
Me
CPC-H
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It is really hard to give good coding advice without the op report you are referencing, but, based on what you stated - you can report separate methods if they are performed on separate areas or lesions. If they are reported on the same lesion you can only report one of them. So - if the polyp was removed by snare in the splenic flexure and the malignant mass from the rectum was biopsied by cold forceps then yes - you can report both.

Hope this helps!
 
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