Results 1 to 6 of 6

Epinephrine injection to prevent bleed prior to biopsy

  1. Default Epinephrine injection to prevent bleed prior to biopsy
    Exam Training Packages
    Our providers are beginning to charge for 45381 for the injection of epinephrine to a non-bleeding site (not as a lift) to prevent bleeding when they biopsy or do polypectomy. CPT Assistant does state "injection of saline into the base of flat mucosal lesions (eg, Barrett's esophagus highgrade dysplasia, superficial gastric or rectal carcinomas, or flat adenomatous polyps) will form a cushioning 'bleb' to reduct the likelihood of post-resection complications, usch as bleeding or perforation." However, the sites being injected aren't requiring a lift/cushioning bleb prior to biopsy/polypectomy. My line of thought is that of if we caused the bleed, we cannot bill for control of the bleed--this is done in anticipation of bleeding.
    Thoughts anyone? Does anyone have reference resource for this specific example?
    Thank you!

  2. #2
    Location
    Lauderdale Lakes
    Posts
    203
    Default
    http://www.gastro.org/practice/pract...nt/coding-faqs

    Look at question 13. This link is from the AGA

  3. Default
    Thanks. This injection was done prior to the biopsy and he is asking for the injection code instead of control of bleed code. The information I'm finding so far is ambiguous...

  4. Default
    Yeah that's tough. If the doctor has good documentation of why he would inject to stop bleeding without a bleed you may be in the clear, but its just not a "by the book" procedure.

  5. #5
    Location
    Lauderdale Lakes
    Posts
    203
    Default
    I believe he would not be able to bill it. If the patient wasnt bleeding before the procedure then you shouldnt be able to bill it

  6. #6
    Location
    Mesa Arizona
    Posts
    57
    Default
    I agree with tpontillo, you cannot bill to control a bleed that you have caused. Billing an injection for the anticipation of a bleed that would be caused by the lesion removal is the same concept.

Similar Threads

  1. ERCP with Epinephrine injection
    By sandeepp in forum Gastroenterology
    Replies: 1
    Last Post: 05-03-2013, 08:31 AM
  2. GI Bleed injection, BICAP probe?
    By chewri in forum Gastroenterology
    Replies: 0
    Last Post: 03-07-2013, 08:15 AM
  3. Injection of Epinephrine
    By Aledford in forum Gastroenterology
    Replies: 0
    Last Post: 09-30-2010, 07:52 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?

Login

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.