Forum - Questions & Answers

Mar 18th, 2010 - doranvalerie

removal of polyps with two different techniques

I remember when we first starting using the 59 modifier if several polpys were removed with two different techniques and for some reason I remember being told that the polyps had to be a certian amt of centimeters apart from one another even if two different techniques were used.. I am correct in this thinking?

Mar 18th, 2010 - nmaguire   2,606 

technique

http://www.gastro.org/user-assets/Documents/03_Practice_Management/Colonoscopy_Bundling_Statement.pdf
If multiple techniques are used on different lesions or polyps, then the procedure report should specifically describe the technique, the type of lesion and the location of the lesion. When more than one procedure is performed using the same technique, report only one code. For example, if the physician removes multiple polyps throughout the colon with snare technique, 45385 can be reported only once.
However, if multiple polyps or lesions are removed with different techniques, you may report each separately. For example, a physician removes a polyp with snare technique in the rectum and then biopsies a lesion in the transverse colon, you may report 45385 and 45380-59.



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