Wiki 45385 vs 45383??

if the report says fulguration to ablate the lesion by snare do you use code 45383 or 45385?


You need to ask the doctor because to ablate/fulgurate means to completely destroy. When you do this there is no tissue left to biopsy. Snare on the other hand is a method of removing a polyp and hopefully retrieving it to send for pathology. The sample of the op note you have provided is conflicting. What is ablated/fulgurated or was it removed by snare? I sincerely suggest you query the doctor for a clearer explanation.

Good luck!

Caprice Walder, CPC
 
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