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Pouchoscopy w/snare polypectomy

  1. #1
    Default Pouchoscopy w/snare polypectomy
    Medical Coding Books
    When I look up the codes for pouchoscopy it only gives me 44385 - pouchoscopy and 44386 - pouchoscopy w/biopsy. How do I code this since he did a snare polypectomy? My initial thought was 44394. Any feedback would be appreciated. Thanks!
    Susie Corrado, CPC
    ENT Coding/Billing

  2. #2
    I would use the unlisted code 44799 (change the description to read Endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique, put a note in box 19 (pouchoscopy with snare) and include a copy of the operative report
    Christina Lee Wagner, CPC, CPC-H

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