ksb0211
Guest
Ok. So apparently there has been a bit of confusion around here regarding CPT 45398.
If a patient has a colonoscopy (regardless of screening vs diagnostic) and also has a hemorrhoid banding at the same time. I realize CPT 45398 is likely. However.....here is an example..............
The patient was brought to the endoscopy room. Following attainment of sufficient MAC anesthesia, digital examination of the rectum was carried out. Scope was moved through the rectal vault to the sigmoid colon. .....{yada yada, colonoscopy, biopsies, etc}...... We then went up with the anoscope and banded hemorrhoids X2.
So my question is.....if he actually went BACK IN with the anoscope following the colonoscopy, wouldn't we bill 46221? The hospital coders are insisting that because it was a colonoscopy primarily that we should use 45398.
I'm a bit frustrated, confused and questioning myself so any insight would help.
Thanks.
If a patient has a colonoscopy (regardless of screening vs diagnostic) and also has a hemorrhoid banding at the same time. I realize CPT 45398 is likely. However.....here is an example..............
The patient was brought to the endoscopy room. Following attainment of sufficient MAC anesthesia, digital examination of the rectum was carried out. Scope was moved through the rectal vault to the sigmoid colon. .....{yada yada, colonoscopy, biopsies, etc}...... We then went up with the anoscope and banded hemorrhoids X2.
So my question is.....if he actually went BACK IN with the anoscope following the colonoscopy, wouldn't we bill 46221? The hospital coders are insisting that because it was a colonoscopy primarily that we should use 45398.
I'm a bit frustrated, confused and questioning myself so any insight would help.
Thanks.