AAPC - Back to school
Results 1 to 3 of 3

Thread: Endoscopies

  1. #1

    Question Endoscopies

    AAPC: Back to School
    I am a coder in Michigan and I am interested in how fellow coders are doing the following along with rationale:

    1. Colonoscopy to cecum with sigmoid biopsy and ascending colon snare polypectomy? One code or two

    2. Colonoscopy and EGD in same operative setting. Bill both codes with the use of the 59 modifier?

    It seems that WPS will not consider both colon codes and rejects one.

    They pay very little for the second endoscopy when done at the same setting, although seperate scopes are being used and the patient repositioned, etc.

    Thanks so much for your help fellow coders.

  2. #2

    Default Kim

    Per Article Written By Stephanie Ellis Rn,cpc, Published In Outpatient Surgery Magazine March '05, If A Polyp Is "removed" & Separate Lesion Is "biopsied" During The Same Operative Session, Code The Removal First, Then Code Biopsy Second With A 59 Modifier. If Colonoscopy & Egd Is Done During Same Session, Bill Colon First, Then Egd. Modifier 59 Is Not Needed Because Those Two Procedures Are Not Bundled Together.

  3. #3
    Join Date
    Apr 2007
    Hamden, Ct


    Colonoscopy with snare 45385
    bx 45380 -59
    upper 43235 (or 43239) etc. no modifier

    You can only bill these codes once regardless of how many polyps were removed. It is once per technique used.

    Hope this helps.

Similar Threads

  1. Endoscopies during a global period
    By paigemwalton@yahoo.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-05-2013, 02:59 PM
  2. Sinus Endoscopies: Help!!!!!!!!
    By jsd123 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 05-24-2010, 07:22 AM
  3. Abnormal anatomy endoscopies
    By welshcl in forum Gastroenterology
    Replies: 0
    Last Post: 03-30-2010, 01:12 PM
  4. Endoscopies
    By kerrieannday in forum General Surgery
    Replies: 1
    Last Post: 08-14-2007, 02:48 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.