AAPC - Back to school
Results 1 to 6 of 6

Thread: cauterization of polyps

  1. #1

    Default cauterization of polyps

    AAPC: Back to School
    does anyone know if a physician states in his op note that he uses cauterization that this is the same thing as saying that he used hot biopsy forceps? We have a physician that states when he uses this term "cauterization" that means the same thing as hot biopsy forceps. or does he have to say "hot biopsy forcep" in his op note. Can our facility just have in writing from the physician this statement that cauterization means hot biopsy forcep for this physician?
    Last edited by Networker3412; 05-20-2010 at 01:38 PM.

  2. #2
    Join Date
    Apr 2007

    Default Hot Biopsy

    It is always better if a physician specifies which technique he uses. It is confusing for coders and payors when reports are reviewed. Be careful when the physician states that he performed a snare polypectomy with quarterization. The 45385 code would be applicable here. Hope this is of help to you.
    Catherine Du Toit CPC, CGIC,PCS

  3. #3
    Join Date
    Apr 2007


    Hot biopsy is 45384. Snare polypectomy is 45385. Hope this helps!
    Susie Corrado, CPC
    ENT Coding/Billing

  4. #4


    our physician states that he does not have to put hot biopsy or snare in his op report because he always states cauterization and he states that always means hot biopsy CPT code 45384. we tried to show him the guidelines but he stands behind his statement that everytime he says cauterization that means hot biopsy forceps. Does anyone know if the physician just make a general statement to the hospital that when he states cauterization this means hot biopsy forceps if we can use that or he specifically has to state that in his op note on every patient??? i thought he had to state that in his op note otherwise how are we to know.....

  5. #5


    Maybe the doctor would be willing to add the word bipolar to his op report. 45384 indicates polyp removal by "hot biopsy forceps OR bipolar cautery".

  6. #6


    If a document is prepared stating this is a standard accepted practice policy, then you can code the 45384. It must be kept on file with all other practice policies

    This would also have to be made available to any auditor. There can be no exceptions. No flip-flopping. And it must be a "practice policy" not physician specific

Similar Threads

  1. cauterization heel
    By Joan Prisco in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-31-2011, 11:59 AM
  2. Use of Chemical Cauterization
    By foguingt in forum Podiatry
    Replies: 0
    Last Post: 08-27-2011, 03:24 PM
  3. Chemical cauterization
    By foguingt in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-26-2011, 04:14 PM
  4. Cauterization of tongue
    By missshiznit in forum Diagnosis Coding
    Replies: 3
    Last Post: 03-22-2011, 10:41 PM
  5. Cauterization 17250
    By HBULLOCK in forum General Surgery
    Replies: 0
    Last Post: 08-04-2010, 01:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.