Results 1 to 5 of 5

polypectomy vs. biopsy

  1. #1
    Default polypectomy vs. biopsy
    Medical Coding Books
    There was a 3mm sessile polyp noted in the proximal ascending colon as well as a 5mm sessile polyp noted in the mid ascending colon, both of which were removed with cold pinch polypectomy. There was a 7-8 mm pedunculated polyp in the sigmoid which was removed with hot snare polypectomy. I would say this would be 45385 but would like some clarification...Thanks!

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by anknight77 View Post
    There was a 3mm sessile polyp noted in the proximal ascending colon as well as a 5mm sessile polyp noted in the mid ascending colon, both of which were removed with cold pinch polypectomy. There was a 7-8 mm pedunculated polyp in the sigmoid which was removed with hot snare polypectomy. I would say this would be 45385 but would like some clarification...Thanks!
    Well the procedure description fits the code so it looks good to me.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Default
    I have never heard of "cold pinch" but when I see cold it makes me think 45380. Something you might want to look at.
    Susie Corrado, CPC
    __________________
    ENT Coding/Billing

  4. #4
    Location
    Charlotte, NC
    Posts
    534
    Default
    I agree with Scorrado here.

    Polypectomy just means removal of a polyp really not the "how" it was removed. "Pinch" is the key word here. Does the doctor mean snared (45385)? cold biopsied (45380)? hot biopsied (45384)? Could be any of them.

    You need to clarify with the doctor what he/she means by pinched.

  5. #5
    Location
    Atlanta Perimeter
    Posts
    59
    Default
    The 45385 is correct for the hot snare removal in the sigmoid colon. I agree with the other responders that you need clarification of what "cold pinch" means before coding that polyp removal in the ascending colon. If it is also a snare - then bill only the 45385. If it was another method, then since this is a different area of the colon, add that code with the 59 or 51 modifier depending on your payer.

    For instance:

    45385
    45380 -59
    Elizabeth Escalante, CPC
    Operations Manager
    Atlanta Gastroenterology Associates

Similar Threads

  1. Polypectomy
    By krssy70 in forum Gastroenterology
    Replies: 2
    Last Post: 03-04-2014, 05:42 AM
  2. Colonoscopy with polypectomy using cold biopsy forceps
    By shultsm in forum Gastroenterology
    Replies: 7
    Last Post: 04-29-2012, 07:11 PM
  3. Hysteroscopy/polypectomy/ECC/cervical biopsy
    By skanderson in forum OB/GYN
    Replies: 0
    Last Post: 12-08-2011, 10:49 AM
  4. polypectomy (?)
    By LTibbetts in forum Gastroenterology
    Replies: 3
    Last Post: 08-07-2009, 12:55 PM
  5. J pouch Polypectomy
    By slwitt in forum Gastroenterology
    Replies: 2
    Last Post: 04-22-2008, 11:48 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.