Can't use the 45380 and the 45384. The biopsies were done in the same anatomical site as the snare (which has the higher RVU).
I would code it like this:
You would use the snare because it has the higher RVU and you don't need a 59 for the injection (or at least you shouldn't). The modifier for the snare can be debated I guess. Did the doctor know going in that he/she wanted to do a full scope? Did they know there was an obstructing mass in the rectum? If they did then it would be a flex sig not a colon. If they didn't and they expecte4d to do the full colon then you would use the 52 for reduced services not a discontinued procedure (due to poor prep or combative patient, etc).
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