Ileoscopy with Pouchoscopy

andreagail

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My doc did a procedure that she is referring to as an Ileoscopy with Pouchoscopy. She tood biopsies in the ileoanal pouch. The Endoscope was advanced to the mid ileum. I think the correct coding should be 44386 and 44380 with a modifier 59 on the 2nd procedure. Anyone have any other opinions?
 
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