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Colonoscopy with EGD - I may have an answer

  1. #1
    Default Colonoscopy with EGD - I may have an answer
    Exam Training Packages
    I may have an answer on this, but would like to confirm my answers. The Scenario: Colonoscopy snare polypectomy in the ascending colon, then a biopsy in the sigmoid colon. Also, a Diagnostic EGD. All same physician, same session. Any thoughts?

  2. #2
    Default
    Quote Originally Posted by fredcpc View Post
    I may have an answer on this, but would like to confirm my answers. The Scenario: Colonoscopy snare polypectomy in the ascending colon, then a biopsy in the sigmoid colon. Also, a Diagnostic EGD. All same physician, same session. Any thoughts?
    45385 (Code to the furthest extent of the procedure)
    43235/59

    Correct?

  3. #3
    Smile Colonoscopy with EGD
    Thank you. I like your solution, and it may get a quicker payment. But the C-scopy snare is in the ascending colon and the biopsy is in the sigmoid colon. Separate parts of the colon. Then add the EGD. So....

    45385
    45380-59
    43235-51

    Any thoughts?

  4. #4
    Question
    I'm not sure that the location of the biopsies and polyps matters as much as the method - the code I mentioned is only for snare technique, so if the biopsy wasn't taken that way, then my first answer won't work...and now I'm not around my codebooks, so I can't offer much else on the subject at the moment...

  5. #5
    Default Colonoscopy with EGD
    Thanks for the input.

  6. Default
    All EGD's are diagnostic. Only colonoscopies can be done as a screening. Just some info. Hope it helps.

  7. #7
    Default Colonoscopy, Medicare, G0121
    You are right. The EGD was diagnostic. I feel that has to be coded in addition to the Colonoscopy. Do you agree?

  8. #8
    Default
    They have different approaches, so there's no reason they can't both be billed.

  9. #9
    Location
    Mesa Arizona
    Posts
    57
    Default
    If the biopsy was done with seperate technique and on a seperate lesion then the apporopriate coding would be as follows:

    45385
    45380-59
    43235-51

  10. #10
    Smile Colonoscopy with EGD
    Thank you for your and confirmation. I had the same codes.

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