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Thread: 45900-52

  1. #1

    Unhappy 45900-52

    AAPC: Back to School
    Our pediatrician saw a 7 yr old boy in the office with a rectal prolapse. She did a reduction at that time.
    The only code I can find for this procedure is 45900 but it is "with anesthesia" which was not done in this instance. Others have suggested I bill the code with the 52 modifier for 'reduced services' but I'm not sure that is appropriate to bill.
    Is a procedure out there that I missed or should I be billing the 45900-52 or just a high level O/V?
    Anyone have any insight to this?
    Thanks in advance for your comments.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default E/M only

    I'd code the appropriate level E/M only.

    F Tessa Bartels, CPC, CEMC

  3. #3

    Talking Many thanks

    Thanks for your thoughts, I just wanted some reassurance as I didn't feel comfortable with the procedure with the reduced services modifier.

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