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45835 vs 45380

  1. Default 45835 vs 45380
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    If the GI provider documents 2mm flat polyp found in ascending colon and a polypectomy was performed with cold snare, tissue sample place in jar would you code the 45385 or 45380?? Everything I have read states if a complete polypectomy was performed then 45385 would be coded. Which one should be used???

    Thanks
    RW

  2. #2
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    45385 - cold or hot snare biopsy
    45380- cold or hot foreceps biopsy

    this is how I always code my colonoscopies with biopsy.

  3. Default
    Quote Originally Posted by Tine View Post
    45385 - cold or hot snare biopsy
    45380- cold or hot foreceps biopsy

    this is how I always code my colonoscopies with biopsy.
    Thank you. This is how I have been coding them but was told it was wrong on an audit. Everything that I have read leads to those codes. Thanks

  4. #4
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    I always code according to how the polyps was removed - snare vs. biopsy forceps. This information is (or should always be) included in the colonoscopy report.

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