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AVM's and Polyps

  1. #1
    Default AVM's and Polyps
    Medical Coding Books
    My GI doc treated a non-bleeding AVM of the duodenum with heater probe and he also ablated a polyp of the duodenum using gold probe. I am thinking that even though it was the same site I would code for both the AVM and the polyp using 43258, 43258-59. Is this correct or should I just use 43258 once. Thanks.
    JOJO-CPC-H

  2. #2
    Default
    CCI edits state if the same intervention (e.g. lesion ablation) is performed on multiple lesions / polyps, it is only reported once. Modifier 59 would be used in this scenario to indicate the service was performed at a separate session on the same date.
    Jenny Berkshire, CPC, CEMC, CGIC

  3. #3
    Default
    I am confused when you say seperate session. He did them at the same time so does that mean that I would only report the code once for this visit?
    JOJO-CPC-H

  4. #4
    Default
    Separate session would be a situation where the patient was brought back for a second procedure after the first one has ended. The scenario you describe is coded as 43258 once.
    Jenny Berkshire, CPC, CEMC, CGIC

  5. #5
    Default
    Quote Originally Posted by j.berkshire View Post
    Separate session would be a situation where the patient was brought back for a second procedure after the first one has ended. The scenario you describe is coded as 43258 once.
    Thanks!
    JOJO-CPC-H

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