The physician dictated a partial transanal excision of rectal tumor for unspecified tumor and a Ligation of an internal hemorrhoid on the op report. the path for the transanal excision came back as a hemorrhoid.
My dilemma is that I was taught to bill with path,; however, the ACS coding person states I should code 239.0 and not use the path report until the first visit post op. She stated that I should always code at the time of the service (no path yet) unless it is a skin lesion which would require a path.
How would you bill?
1. 45171, 239.0
2. 46221, 455.2
or
1. 45171, 455.8
2. 46221, 455.2
My dilemma is that I was taught to bill with path,; however, the ACS coding person states I should code 239.0 and not use the path report until the first visit post op. She stated that I should always code at the time of the service (no path yet) unless it is a skin lesion which would require a path.
How would you bill?
1. 45171, 239.0
2. 46221, 455.2
or
1. 45171, 455.8
2. 46221, 455.2