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Thread: Exam under anesthesia w/removal of colon ring, sigmoidoscopy

  1. #1
    Join Date
    Apr 2007
    Northeast Kansas AAPC

    Default Exam under anesthesia w/removal of colon ring, sigmoidoscopy

    AAPC: Back to School
    I am thinking this is just a sigmoidoscopy 45330 and EUA w/removal of foreign body 46608.
    Anal area was prepped and draped. Approximately 8 cm up you could feel the colon ring. There was stricturing below it. I was able to dilate this up, place a tenaculum on this colon ring and remove it. After removing it we did a sigmoidoscopy. Posteriorly you could tell the area had sort of eroded through probably where the ring was resting and mucosa raw. Did a sigmoidoscopy and was able to go up through the anastomosis. It is tightly strictured and I dilated that up and I could get a little over a finger and a half through this anastomosis. --- Didn't think I could use 45340 as no mention of balloon was described.


  2. #2


    What about 45915, just removal of foreign body since anoscope not mentioned? Now 45915 and 45330 are a NCCI edit so you cannot bill both. I would bill 45915 since it has a higher facility RVU(5.49) versus 45330 with fac RVU 1.67. Also, sigmoidoscope used more to evaluate the site than diagnose. Just a thought.

    Anna Barnes, CPC, CGSCS

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