I have a situation. I am still new at this coding thing...so bare with me. I work for a Gastroenterologist and he wants me to code a Colonoscopy with biopsy ablation of polyps (45383) and Colonoscopy with biopsy (45380-59). I have tried to explain that many of the payers do not like these codes because they say it's excessive. I agree with them because the first code already has the biopsy included, as well as the ablation. Also, he wants to code 43239 with 44360 and the payers have actually upcoded the enteroscopy code from 44360 to 44361 and dropped the EGD code 43239. I need some pointers. Am I wrong for agreeing with the payer or is doc right in coding these together? I am a little stressed because I know I am still new at this. Help...
Regards,
Felicia, CPC-A
Regards,
Felicia, CPC-A