Results 1 to 4 of 4

colonoscopy with injection/polypectomy

  1. #1
    Default colonoscopy with injection/polypectomy
    Medical Coding Books
    Please help with the coding on the following scenario...

    In the mid ascending colon there is a polyp. This is a broad based polyp. It is approx. 1 cm in diameter. It has the typical appearance of a tubular adenoma. The polyp was removed in piecemeal fashion. I believe that complete polypectomy is achieved, but that is difficult to ascertain with 100% certainty given the rather flat nature of the polyp and the piecemeal polypectomy. The area was marked with SPOT preparation. Good hemostasis was achieved.

    Since the exact same area was tattooed that the polypectomy was done, can I bill for the tattooing?

    Thanks in advance for your help!


  2. #2
    Charlotte, NC
    wait, not sure of my answer, let me double check and then repost. But to my gut instinct, yes, you can charge the 45381.
    Last edited by coachlang3; 01-03-2012 at 03:02 PM.

  3. #3
    Charlotte, NC
    I didn't know what SPOT prep was and that along with the last sentence (hemostasis was acheived) is what made me do a double look. I thought it was a new way to control bleed, lol.

    Yes, you can bill the 45381 and based on what you entered I would also use a 45380 for the piecemeal polyp removal (unless there is different wording in the procedure note).

  4. #4
    Actually, the op note doesn't state how the polypectomy was done. 45380 would be the lesser of the codes. But maybe it was done with a snare and then it would be 45385.

Similar Threads

  1. Colonoscopy w/ Polypectomy by Cold Forceps
    By jrgibson in forum Gastroenterology
    Replies: 3
    Last Post: 01-19-2012, 03:25 PM
  2. Colonoscopy with snare polypectomy
    By lindacoder in forum Gastroenterology
    Replies: 3
    Last Post: 08-27-2010, 10:11 AM
  3. Colonoscopy w/Polypectomy and India Ink
    By Kelly Scheerer in forum Gastroenterology
    Replies: 3
    Last Post: 10-14-2009, 04:12 PM
  4. Colonoscopy with Polypectomy by Cold Bx Bites
    By Hopp in forum Gastroenterology
    Replies: 4
    Last Post: 08-06-2009, 12:40 PM
  5. Colonoscopy w/ polypectomy with cold forceps
    By bella2 in forum Gastroenterology
    Replies: 3
    Last Post: 06-09-2009, 12:29 PM

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?


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.