Wiki 45382 & 45381

[magmae]

can someone please advise of the following:

Polypectomy site was noted at the hepatic flexure with clip loosely in place, actively oozing. This was injected with epinephrine 1:10000, 2cc in four quadrants with apparent hemostasis. The original clip fell off and one clip misfied, but 3 clips were successfully deployed at/around the polypectomy site with complete hemostasis achieved.

Can 45382 be billed for both the epinephine and the clips?

Thanks

 

[bridgettemartin]

Based upon the info provided, and this is not the same session as the polypectomy, I would only bill for the control bleed. The provider was attempting to control the bleeding with two methods, but the "same site" rule applies.