Wiki 45382 coding help

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magmae

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Can someone please advise of the following:

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

Impression: Post-polypectomy bleeding at the hepatic flexure treated with epinephrine injection and clipping.

Can the 45382 be utilized for both the injection and the clipping?

Any insight is greatly appreciated. Thanks
 
Was the bleed a result of the polypectomy? If is was you can not bill for this separately, you caused the bleed.

For control of bleed that was not caused by the provider, just report 45382 once for both methods, it does not matter what the method was or how many methods were used. The code is simply for control of bleed. Hope this makes sense :)
 
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