Gastroenterology Coding Alert

Find out what bundles you can bill together using modifier 59.Key changes to the gastroenterology practice entail a veto on proctosigmoidoscopy and therapeutic anoscopy procedures, among other modifications. Check out what you should do post July 1 with the following tips.Backround: The latest Correct Coding Initiative (CCI) edits took effect on July 1, 2011, and carries 2,343 new edit pairs and 224 deletions --" relatively fewer than previous edits. Most edits come from the musculoskeletal code range. However, bundles also affect the Surgery/Digestive System section of the CPT® manual.Don't Ignore Your 45300 BundlesCCI assigns a modifier indicator of "0," and enforces a series of edits for:46615 (Anoscopy; with ablation of tumor[s], polyp[s], or other lesion[s] not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique) and 45300 (Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure])46614 (...with control of bleeding [e.g., [...]