songbird4700
Contributor
We are having a highly spirited debate at my office regarding the documentation of a 45380...
AND of 45378 vs HCPCS codes.
I would love to hear any and all comments regarding this.
Here is the scenario #1
Patient is seen for a colonoscopy, a polyp is found and removed. The problem lies in the physician's documentation of the removal. He indicated that the polyp was removed via "biopsy forceps". Would you immediately code as a 45380? Or would you question the physician, asking whether or not the forceps used were hot or cold?
Scenario #2
Medicare patient is seen for colonoscopy with an indication of V12.72, personal history of polyps. No polyps, masses, or lesions are found. Is this coded as a G0105, high risk screening? Or, because the actual term "screening colonoscopy" is never mentioned, would it be coded as a 45378?
Please, any comments AND back up documentation would be greatly appreciated!!
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AND of 45378 vs HCPCS codes.
I would love to hear any and all comments regarding this.
Here is the scenario #1
Patient is seen for a colonoscopy, a polyp is found and removed. The problem lies in the physician's documentation of the removal. He indicated that the polyp was removed via "biopsy forceps". Would you immediately code as a 45380? Or would you question the physician, asking whether or not the forceps used were hot or cold?
Scenario #2
Medicare patient is seen for colonoscopy with an indication of V12.72, personal history of polyps. No polyps, masses, or lesions are found. Is this coded as a G0105, high risk screening? Or, because the actual term "screening colonoscopy" is never mentioned, would it be coded as a 45378?
Please, any comments AND back up documentation would be greatly appreciated!!