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Thread: 45383

  1. #1

    Default 45383

    AAPC: Back to School
    If my doctor removed a polyp by hot snare and then in his dictation states he fulgurated a different polyp by snare - I take it that he cannot charge that due to the same instrument being used?

  2. #2
    Join Date
    Apr 2007
    Atlanta Perimeter


    No. If it is on two separate lesions then you would bill both codes, using the 59 modifier on the second code. Insurance MIGHT deny the second code as being "bundled" but you can appeal this using the NCCI edits and information which states they are billable if on different lesions/polyps.
    Elizabeth Escalante, CPC
    Operations Manager
    Atlanta Gastroenterology Associates

  3. #3
    Join Date
    Apr 2007


    You could only code two different lesions as long as they were located in two different sites of the colon using the mod 59. If both lesions are at the same site you cannot code using 59, you would only code it once.

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