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Gastroenterology Coding Alert

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45383, 45381 Take Care of Same-Polyp Intervention

Published on Tue Mar 08, 2011

Question: What codes should I use to report this procedure? The olympus scope was passed in the transverse colon. Excellent prep. The lesion itself was at approximately 9cm in the rectosigmoid or upper one third of the rectum really. With the rotatable snare, the base was encircled, and the polyp removed, and then another small piece that was still on the wall was removed, thereby, removing the entire lesion. This was retrieved, put in a pathology bottle. The area was then re-examined. Because there was a diagnosis of dysplasia, it was elected to use the APC with 360 head post polypectomy setting which was done, and the entire area was APC'd under narrow band light. This was removed, the Argon removed, and then a tattoo with a SPOT material was used and photographs were taken.Florida SubscriberAnswer: It appears the snare and APC intervention are on the same polyp/lesion. The report [...]
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