Was the bleeding caused by the gastroenterologist during the procedure?...then you cannot bill it separately...
I got this information from the Coding Institute Vol. 10 2008:
"Gastroenterologists may use many of the same techniques for cauterization (to control bleeding) and for ablation...and the code definition can also be confusing...but the defining factor is the clinical situation and diagnosis, Weinstein says.
For example use control of bleeding when:
. controls bleeding from a polypectomy site several days after the initial polyp removal
. is treating diverticulitis with hemorrhage
. is treating angiodysplasia with hemorrhage
. If the gastroenterologist caused the bleeding...even though...had to use cautery to control bleeding...it is included in the surgical package..."
hope this helps
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