AAPC - Back to school
Results 1 to 2 of 2

Thread: Endoscopies

  1. #1

    Question Endoscopies

    AAPC: Back to School
    I would love some feed back from fellow coders about how others bill for endoscopies. I did not receive any response from the Gastroenterology thread.

    How would you code the following:

    EGD w/ Biopsy
    Colonoscopy w/ hot forcep biopsy and snare polypectomy ?

    I have been instructed many ways, the most recent answer states that you would bill both the hot biopsy 45354 with a 59 and the 45385, as well as the 43249 with a 59 showing that each one was a seperate site. However, carriers obviously do not like this.

    Any help or recommendations appreciated very much.


  2. #2


    You should bill 45385 with no modifier (it has the highest RVU's).
    Bill 45384 with modifier 59 as long as it was at a different section of the colon than the snare--otherwise it is bundled.
    Bill 43239 for EGD w/ bx. You don't need a modifier with this since it is a different body part.
    The payment for 45384 is very small but you do get something.

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 Gastroenterology
    Replies: 2
    Last Post: 08-22-2007, 07:08 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.