Results 1 to 3 of 3

Billing 45381 with 45385

  1. Smile Billing 45381 with 45385
    Medical Coding Books
    If the doctor removes a polyp by snare technique and uses a saline-lift injection to help with the snare, is it appropriate to bill for both the 45385 and 45381? I've gotten conflicting information on whether the injection is acutally just a component of the snare removal or can be reported separately.

  2. #2
    According to the 2011 General Surgery / Gastro Coding Companion;


    "The physician performs flexible colonoscopy of the proximal to splenic flexure and injects a substance into the submucosa, directed at specific areas through the scope while viewing the colon. The physician inserts the colonoscopy through the anus and advances the scope as far as the splenic flexure of the colon. The lumen of the colon is visualied. Submuscosal saline injection, for instance, may be done efore polypectomy using snare and electrocautery to greaty enhance the effectiveness of resection for large sessile colorectal polyps"

    Sounds to me like it is billable ... I did not check CMS CCI Edits.

    Hope this is helpful


  3. #3
    This is coded 45385 with 45381
    No modifiers required

Similar Threads

  1. Billing 45380 and 45385 together
    By abyars82 in forum Billing/Reimbursement
    Replies: 5
    Last Post: 06-01-2016, 05:51 PM
  2. Using 45385 with 45381
    By Feefer618 in forum Gastroenterology
    Replies: 16
    Last Post: 03-30-2016, 12:13 PM
  3. Billing 45385 and 45380
    By pscar in forum Gastroenterology
    Replies: 7
    Last Post: 10-21-2014, 10:07 AM
  4. Billing 45385 with 45384 & MUE denial
    By KDurgin in forum Gastroenterology
    Replies: 5
    Last Post: 06-06-2013, 02:31 PM
  5. 45380 and 45385 billing with 59 modifier
    By djohns in forum Gastroenterology
    Replies: 3
    Last Post: 02-10-2010, 08:11 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.