Endoscopies-I would love

kerrieannday

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I would love some feed back from fellow coders about how others bill for endoscopies. I did not receive any response from the Gastroenterology thread.

How would you code the following:

EGD w/ Biopsy
Colonoscopy w/ hot forcep biopsy and snare polypectomy ?

I have been instructed many ways, the most recent answer states that you would bill both the hot biopsy 45354 with a 59 and the 45385, as well as the 43249 with a 59 showing that each one was a seperate site. However, carriers obviously do not like this.

Any help or recommendations appreciated very much.

Thanks
 

TammyM

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You should bill 45385 with no modifier (it has the highest RVU's).
Bill 45384 with modifier 59 as long as it was at a different section of the colon than the snare--otherwise it is bundled.
Bill 43239 for EGD w/ bx. You don't need a modifier with this since it is a different body part.
The payment for 45384 is very small but you do get something.
 
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