Forum - Questions & Answers

Nov 16th, 2015 - rphelps 615  1 

Colonoscopy

I billed 45388 and 45380/59 and Medicare denied. Can anyone tell me what is wrong with this billing?

Nov 16th, 2015 - lkoolsone 11 

re: Colonoscopy

Here are the CCI edits for these codes for facility:

CCI Validation Report
Code Short Description Facility RVU Column 1 Conflicts Column 2 Conflicts
45380Remove Code Colonoscopy and biopsy 7.4
(none)
(none)
45388Remove Code Colonoscopy w/ablation 0
(none)
(none)

I'm not sure why, but 45388 has a RVA of 0 for Medicare, in which case you would just bill the 45380.



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