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  • CPT® Code 45388 - Endoscopy Procedures on the Rectum - AAPC
    The Current Procedural Terminology (CPT ®) code 45388 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Rectum
  • Beware Polypectomy and Ablation Limitations : You Be the Coder - AAPC
    In those cases, you should list only 45385 and should not additionally report 45388 Tip: Think of it this way — you should report 45388 only when your surgeon doesn’t remove a polyp at the same site in the same session That’s true whether the surgeon uses hot biopsy forceps, snare cautery, cold biopsy forceps, or cold snare
  • Wiki - 45388 Fee | Medical Billing and Coding Forum - AAPC
    Fellow Members, Wondered if you could enlighten me as to why CMS has decided that Code 45388:Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed); is worth $3,000 00 + and any other code within
  • Ablation vs Removal of colon polyp (45388 vs 45384) - AAPC
    I am getting mixed opinions for which CPT code to use in this case, I would use 45388, because of the description in the findings, but others say 45384 because he mentions, treated with bipolar cautery Does anyone have any concrete evidence of which CPT code would be correct? and what is the difference between removal and ablation of a polyp?
  • Wiki - Colonoscopy with cautery of AVM - AAPC
    Patient has a colonoscopy and the doctor discovers an AVM in the colon He performs cautery However, there is no documentation that the AVM is actively bleeding or that it was bleeding previously Do I still use 45382 for "control of bleeding"? Maybe I'm thinking too much into this Do
  • Wiki - EGD w APC for non-bleeding AVM
    I am looking for some advice I am finding conflicting information regarding the correct CPT code for an EGD with APC for a NON-bleeding AVM 43255 or 43270? I have found some discussions saying to use 43270, as the AVM was not actively bleeding at the time of APC And the provider does
  • 45388 with 45385 | Medical Billing and Coding Forum - AAPC
    Amerihealth has denied several claims of mine with 45388 45385 I am fairly new at GI coding, other payers are paying them, The way it was billed is 45388 45385 XS Is this correct?
  • Wiki - Can 45385, 45380 45381 be billed together? - AAPC
    The base code for 45385, 45380, 45381 is 45378 You cannot bill 45378 with any other code, hence the "separate procedure" next to the code description All the other codes can be billed together, but, you have to make sure you know and understand the breakdown of the colon and its different areas If you e g perform a 45385 (snare) in the ascending colon, and a bx 45380, in the transverse
  • Using 45385 with 45381 | Medical Billing and Coding Forum - AAPC
    Did the guidance to bill 45381 and 45385 change? I have a physician who removed a polyp using the saline lift tequnique and snare so I billed Connecticare 45381 and 45385 and they denied the 45381 stating these cannot be billed together I appealed it with a letter with all the documentation I had saying this was the correct way to bill this and they denied my appeal and say I have no more
  • CPT® Code - Endoscopy Procedures on the Rectum 45300-45393 - AAPC
    The Current Procedural Terminology (CPT) code range for Endoscopy Procedures on the Rectum 45300-45393 is a medical code set maintained by the American Medical Association





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