Go Back   AAPC Forum > Medical Coding > Gastroenterology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 12-07-2009, 02:44 PM
esimon esimon is offline
Join Date: Apr 2007
Posts: 10
esimon is on a distinguished road
Default Need Help with multiple colonoscopy billing!

I am a new coder and I have a physician who is billing on three separate claim forms for one date of service:


Each code is reported one time on each claim form. I discussed this with two other coders and according to their knowledge, the physician should bill on one claim form and attach modifier 51 to the procedures that is not the main procedure. Is this appropriate? Can modifier 51 be used with these codes?

This is what I read and understand so far about modifier 59: You can use this modifier if different techniques are used during the colonoscopy; modifier 59 should not be used when the codes are within the same family? Are there any more important points when using modifier 59 on colonoscopies? Examples?

Thank you for your help,

Reply With Quote
Old 12-09-2009, 12:17 PM
helenadutoit helenadutoit is offline
Join Date: Apr 2007
Location: Philadelphia
Posts: 36
helenadutoit is on a distinguished road
Default Multiple colonoscopies

The other coders are right. These procedures should all be billed on one claim form with modifiers.

Depending on what the operative note says. for example:
45385, removal of polyp(s) with snare thechnique,
45382 - 59, control of bleeding. But, if the bleeding was a result of the polypectomy, you cannot bill this as a seperate procedure. There is a saying: "if you break it, fix it". So, make sure that this control of bleeding was performed in a different part of the colon.
45380 - 59. Again, bx or polyp(s) removed by cold forceps. Must be in different part of colon than the 45385.

Hope this helps a little.
Catherine Du Toit CPC, CGIC,PCS

Last edited by helenadutoit; 12-12-2009 at 09:56 AM.
Reply With Quote
Old 12-09-2009, 12:42 PM
chetubig001 chetubig001 is offline
Join Date: Apr 2007
Posts: 37
chetubig001 is on a distinguished road

When multiple colonoscopy procedures are performed during the same session, documentation must identify the technique used to perform each procedure. One code is used to report multiple procedures performed using the same technique. Multiple codes are reported when more than one procedure was performed using multiple techniques. When more than one colonoscopy code is reported for the same session modifier -59 (Distinct procedural service) may be used.


Modifier -51 is if they are having an endoscopy and a colonoscopy (different family).
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 05:11 PM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC