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Thread: ICD-9 PCS bundling?

  1. #1

    Question ICD-9 PCS bundling?

    AAPC: Back to School
    Colonoscopy with polypectomy
    1 code or 2?

    45.42 Endoscopic polypectomy of large intestine
    Does this code describe only the "method" of the polypectomy or does it also include a full colonoscopy? Should 45.23 Colonoscopy be coded in addition?

    Is there a source to clarify such questions?
    Thank you.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    The 45.42 is the colonoscopy as well by use of the word endoscopic, this implies that a colonoscopy was also performed, the approach ( colonoscopy) cannot be coded additional once a definitive procedure via that approach has also been coded.

    Debra A. Mitchell, MSPH, CPC-H

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