AAPC - Back to school
Results 1 to 2 of 2

Thread: colonoscopies and multiple biopsies

  1. #1
    Join Date
    Apr 2007
    Sierra Vista, Az

    Default colonoscopies and multiple biopsies

    AAPC: Back to School
    One of my physicians has been informed that if during a colonoscopy with polyp removal (45385) that the magic number to bill using a modifier 22 is 8 polyps. I can't find anything anywhere stating any payer has issued these guidelines and am hoping someone has something that might prove or disprove this statement. Any help will be appreciated.

  2. #2
    Join Date
    Apr 2007


    I've never seen documentation of a "magic number" of polyps to determine use of 22 modifier. I recommend the "magic" determination be the time involved with the procedure. Each physician or practice might consider an informal time value to determine when the 22 modifier is used. Sometimes there are few polyps, but the size, location and difficulty in technique of removal drives the modifier use. The most important factor, though, is the detail in the procedure report.
    Jenny Berkshire, CPC, CEMC, CGIC

Similar Threads

  1. Multiple Biopsies
    By karey in forum OB/GYN
    Replies: 0
    Last Post: 07-02-2013, 07:10 AM
  2. multiple biopsies - same location
    By JeanieM in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-13-2012, 06:16 PM
  3. Coding multiple biopsies
    By kewing in forum Dermatology
    Replies: 1
    Last Post: 09-17-2010, 09:17 AM
  4. multiple tongue biopsies
    By klamont in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 08-16-2010, 06:12 AM
  5. Multiple biopsies
    By micalbee65 in forum General Surgery
    Replies: 1
    Last Post: 06-25-2010, 11:44 AM

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.