Gastroenterology Coding Alert
45380 Describes 1 or Several Biopsies
Question: In this procedure, the doctor performs an endoscopy and takes a biopsy every 20 centimeters or so. How should I code this? California Subscriber Answer: If the procedure is unusually extensive or time consuming, you could append modifier 22 (Increased procedural services). You would have to provide the payer with a well-documented and convincing argument -- comparison of time with a normal biopsy procedure, number of biopsies and sites, substantial complications -- as to why it should give your office additional reimbursement. Even then, you shouldn't hold your breath in anticipation of extra money.
Gastroenterology Coding Alert
- 4 Tips Get Your Gastroenterologist to Write Reimbursable Endo Reports
Help your office get paid when doc makes your job easier. Coders ask questions all [...] - Templated EHRs Could Result in Incomplete Endo Notes
Physicians must take care that the record actually matches what they did. If you use [...] - Clip 'n' Save :
Endoscopy-Coding Checklist for Physicians
Here's a handy reference for when your gastroenterologist dictates an endoscopy report. If patient had [...] - How Do I Know Which Code Gets Modifier 59?
With all the CCI bundling going on,it's time for a refresher on unbundling. Nowadays, whenever [...] - Don't Let CCI 15.1's 300,000 Additions Scare You
Most new bundles won't affect your bottom line. If the news about the huge set [...] - You Be the Coder :
Do You Know the ICD-9 Code for This Referral?
Question: What is the diagnosis code for "positive ColoSure." A patient was sent to our [...] - Don't Make These Common Mistakes When You Append Modifier 59
• Never append modifier 59 to any E/M service code. It's for procedures only. • [...] - READER QUESTIONS :
Choose E/M Code for Dilation Without Anesthesia
Question: My gastroenterologist performed an anal dilation in the office. The CPT only lists 45905 [...] - READER QUESTIONS :
45380 Describes 1 or Several Biopsies
Question: My gastroenterologist performs mapping biopsies on patients who have inflammatory bowel disease. In this [...] - READER QUESTIONS :
Colostomy, Colotomy Determine Code Choice
Question: What's the difference between 44388 (colonoscopy through stoma) and the code 45355 (colonoscopy via [...] - READER QUESTIONS :
There's No Procedure Code for PEG-Tube Removal
Question: I haven't been able to find a code for gastrostomy tube removal without an [...] - READER QUESTIONS :
Don't Let Brand Name Confuse Your Coding
Question: Our physicians are using a Third Eye retroscope. I am trying to find a [...]
