Forum - Questions & Answers

Mar 5th, 2013 - Alka3

Coding for ablation of angiodysplasia - intestine

Please see the question below:

Question: A patient has angiodysplasia of the intestine and presents for ablation of the same and is not actively bleeding at the time of a small bowel enteroscopy. May code 44378 be reported for control of hemorrhage if the patient has a history of chronic intermittent bleeds due to angiodysplasia or must the patient be actively bleeding?
44378 includes Ileum but site is not mentioned in the scenario.

As per the CPT® assistant its appropriate to code 44378 but if the patient is presenting for ablation and is not actively bleeding, why would we code 44378? Please help me understand the logic behind this. CPT® code for ablation 44369 has less RVU but as per documentation why should we not code ablation.



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