clarkmegan
Networker
How do you know when to bill 45385, 45381 over 45390? I understand you’re supposed to look for terms such as “flat polyp,” but what if the note doesn’t say that, it just says:
"A single sessile 11 mm polyp was found in the cecum. A piece-meal polypectomy was performed using a hot snare over a saline pillow. The polyp was completely removed.” [/I]
Does a specific location help to determine appropriate CPT code? Ie; are cecal polyps more likely to be flat? Does size of polyp help determine? Looking for some clear cut guidance how to tell from a procedure note when the description is not very specific.
"A single sessile 11 mm polyp was found in the cecum. A piece-meal polypectomy was performed using a hot snare over a saline pillow. The polyp was completely removed.” [/I]
Does a specific location help to determine appropriate CPT code? Ie; are cecal polyps more likely to be flat? Does size of polyp help determine? Looking for some clear cut guidance how to tell from a procedure note when the description is not very specific.