Results 1 to 3 of 3

45380 and 45383

  1. #1
    Greeley, Colorado
    Red face 45380 and 45383
    Medical Coding Books
    One of my docs is wanting to code 45380 and 45383 for the same polyp. He clearly documents polyp removed by biopsy forceps and states "the margins were then fulgurated with Gold probe...". I'm usually confident in my colon coding, but is it possible to code 45383, 45380-51? The 1/04 CPT Assistant article leads me to believe I can, but it is not clearly stated. Any thoughts?
    Lisa Bledsoe, CPC, CPMA

  2. #2
    I got this information from the Gastroenterology Coding Alert and I hope this helps!

    "Don't report 45383 when the gastroenterologist uses any of the following methods to ablate the remainder of a polyp immediately after removal of most of the poly by another method, Weinstein says:
    1. If the gastro removes and then ablates with hot biopsy forceps, report 45380 instead.
    2. When the physician uses bipolar cautery for removal followed by ablation, opt for 45384 on your claim.
    3. You should code snare-technique removal followed by ablations with 45385.
    Hot forceps bipolar cautery: When the gastroenterologist both removes and cauterizes a polyp simultaneolusly using hot biopsy forceps, you should use 45384. You can also apply this code when the physician uses either a monopolar hot biopsy forceps or a bipolar cautery forceps, Weinstein says"

  3. #3
    Greeley, Colorado
    Thank you - that is helpful.
    Lisa Bledsoe, CPC, CPMA

Similar Threads

  1. CPT code 45380 or CPT code 45383
    By NESmith in forum Gastroenterology
    Replies: 1
    Last Post: 12-31-2013, 07:15 AM
  2. 45383
    By willette in forum Gastroenterology
    Replies: 2
    Last Post: 07-19-2011, 11:59 AM
  3. 45383 versus 45380
    By helenadutoit in forum Gastroenterology
    Replies: 3
    Last Post: 05-20-2010, 07:22 PM
  4. 45385/45383 vs 45380
    By southbaymed in forum Gastroenterology
    Replies: 3
    Last Post: 08-25-2009, 07:49 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.