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Gastroenterology Coding Alert

CCI Edits:

CCI Edits 17.2: New Edits Ban Use of 45300 With Codes For Therapeutic Anoscopy, Manipulation

Published on Mon Aug 01, 2011

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., [...]
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