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Ablation vs BX

  1. Wink
    Medical Coding Books
    If using the same forcep, only one code. If needed to change the forcep; need to insert again, can charge two code with 59 modifier.....that was the answer when I attended GI one day AAPC seminar.

  2. #12
    Default
    The definition of 45383 can be misleading because it only states what techniques the codes should not be used for: hot biopsy forceps (45384), bipolar cautery (45384), and snare (45385). It may not be possible to remove a lesion using one of these techniques and the lesion may or may not be biopsied before it is ablated using an alternative technique. In other cases, it may not be possible or necessary to obtain a tissue sample of a lesion or polyp depending upon the location. The ablation of the tissue (tumor, polyp, or other lesion) can be performed with many different types of devices (heater probe, bipolar cautery probe, argon laser, etc) regardless of whether a sample was obtained with a biopsy forceps before the ablative device is applied. Code 45383 is also frequently used to describe the treatment of benign vascular lesions.

    thanks!
    Mohd Ali Hadi- CPC-H

  3. #13
    Default
    The definition of 45383 can be misleading because it only states what techniques the codes should not be used for: hot biopsy forceps (45384), bipolar cautery (45384), and snare (45385). It may not be possible to remove a lesion using one of these techniques and the lesion may or may not be biopsied before it is ablated using an alternative technique. In other cases, it may not be possible or necessary to obtain a tissue sample of a lesion or polyp depending upon the location. The ablation of the tissue (tumor, polyp, or other lesion) can be performed with many different types of devices (heater probe, bipolar cautery probe, argon laser, etc) regardless of whether a sample was obtained with a biopsy forceps before the ablative device is applied. Code 45383 is also frequently used to describe the treatment of benign vascular lesions.


    thanks!
    Mohd Ali Hadi- CPC-H

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