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BX vs Ablation

  1. #1
    East Valley, Tempe AZ
    Default BX vs Ablation
    Medical Coding Books
    Hi alll you fabulous coders, I need a little guidance. A doc does a colonoscopy with a piecemeal biopsy (45380 ) then he ablates the rest of the same polyp with several passes of the biopsy forceps. The provider is changing the code to 45383 (ablation of polyp). I don't believe we can code out both since it is the same polyp but shouldn"t it be left at 45380? Any direction would be helpful. Lora

  2. #2
    Greeley, Colorado
    I don't see that these codes are bundled. Couldn't they both be coded with mod -51 on 45380?

  3. #3
    East Valley, Tempe AZ
    I thought no, since it is the same polyp. Lora

  4. #4
    Wink biopsy vs. polypectomy
    Since the ultimate procedure is the ablation of the polyp, it is my understanding that you would code the polypectomy. If you take a bite of the polyp for biopsy, then ablate it, you would code only the ablation. If you biopsy a separate polyp or lesion elsewhere in the colon, you could code the biopsy with a -51 modifier. That is my understanding.

  5. #5
    Greeley, Colorado
    jayne - excellent point. If it is a separate polyp though I think mod -59 is more appropriate. It would be nice to hear from a GI specialty...

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