Gastroenterology Coding Alert
Pair of ICD-9 Codes Proves Colonoscopy Necessity
Question: A patient complaining of rectal pain reported to the office. The gastroenterologist performed a colonoscopy and found two bleeding polyps in the ileum, which she cauterized. Which CPT code should I use to report the procedure? Answer: For the colonoscopy, you should report 45382 (Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding [e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator]).
Idaho Subscriber
Don't forget: You should also attach ICD-9 codes 569.42 (Other specified disorders of rectum and anus; anal or rectal pain) AND 211.2 (Benign neoplasm of other parts of digestive system; duodenum, jejunum, and ileum) to 45382 to prove medical necessity.
Gastroenterology Coding Alert
- Knowing Internal or External Site Takes the Pain Out of Hemorrhoid Coding
Report 46221 only once for rubber banding regardless of the number of ligations
When you report [...] - Clip and Save:
Use This Hemorrhoid Coding Quick Key
It's a tough subject, but hemorrhoid knowledge helps the bottom line
If you didn't know that [...] - Quick Quiz:
Get Hip to New Codes, Square Your Office With CPT 2005
Another year, another Stretta code - but which one's the right one? It's official: The [...] - You Be the Coder:
Choose Correct Codes for Endoscopic PDT
Question: Our gastroenterologist performed photodynamic therapy (PDT) for one hour on a patient with Barrett's [...] - Avoid Incident-To Accidents, Collect an Extra 15 Percent
- Reader Question:
Varied Dates of Service Make Swell Peritoneocentesis Claims
Question: The gastroenterologist performed peritoneocentesis on a patient to drain fluid from his abdominal cavity. [...] - Reader Question:
Pair of ICD-9 Codes Proves Colonoscopy Necessity
Question: A patient complaining of rectal pain reported to the office. The gastroenterologist performed a [...] - Reader Question:
ERCP Getting Complicated? Dial 43269
Question: The physician performed an endoscopic retrograde cholangiopancreatography (ERCP) on a patient on Monday. The [...] - Reader Question:
Code Combo Is Key to FluMist Payment
Question: We are one of the few gastroenterology offices in our area administering the FluMist [...]
