Wiki Need help coding a colonoscopy / egd

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Britteo

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One of our physicians did a colonoscopy and egd on a patient due to recurrant thrombophlebitis - it is very common for some one with this condition to have cancer of the gastrointestial tract. Both procedures were normal - how should this be coded?
 
I am going to use CPT codes 45378 & 43235 with modifier 59 but I was wondering about ICD-9 codes. Would it be acceptable to use V67.00 as a following surgery where some patients with recurrant thrombophlebitis have cancer of the GI track? And use the Recurrent Thrombophlebitis as the 2ndary code?
 
Actually you don't need the 59. The Colon and the EGD are not bundled. You might possibly need a 51 modifier depending on the payor.

Can't answer to the diagnosis part yet but I'll do a little research in the morning when I get to the office.
 
Colon & EGD

I would bill both procedures, colon first, no modifiers needed, they are not bundled. The dx would be "hx of" or recurrent, or lastly if nothing else, use symptoms.
 
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