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Thread: Colonoscopy w/Polypectomy and India Ink

  1. #1

    Default Colonoscopy w/Polypectomy and India Ink

    AAPC: Back to School

    CPT codes 45385 and 45381 are not bundled per NCCI edits. However, if a physician removes a polyp and tattoos the same lesion during the same operative session wouldn't that be considered inclusive of one another?

    Any help is greatly appreciated.

    Kelly Scheerer, CPC

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    According to the CPT Assistant article from January 2004, 45381 can be reported as an additional service. Report 45381 with modifier -51.

  3. #3
    Join Date
    Apr 2007


    The 45381 is not included and when I bill it I bill it with a -59 modifier. I have not had any issues getting it paid but I can also see how -51 would work also because it is not one of the procedures that is marked as -51 exempt.
    Susie Corrado, CPC
    ENT Coding/Billing

  4. #4

    Default tattoo

    CCI does not require a modifier on the tattoo

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