Wiki Multiple polypectomy techniques on 1 polyp

[chetubig001]

I know that you can only code 1 polypectomy technique for 1 polyp. The dr. is disagreeing with me and is asking for documentation in which I'm having a hard time finding. Can someone please steer me in the right direction so that I can prove that I am correct?

 

[j.berkshire]

Reference CMS's Correct Coding Initiative which states:
3. If the same endoscopic procedure (e.g., polypectomy) is performed multiple times at a single patient encounter in the same region as defined by the CPT Manual narrative, only one CPT code may be reported with one unit of service. "NCCI Policy Manual for Medicare Services," Version 15.3 , Chapter 6, Section C.4 at: http://www.cms.hhs.gov/NationalCorrectCodInitEd/01_overview.asp#TopOfPage

 

[chetubig001]

Thank you so much. This is definetly going to help.