Wiki Question about Control ov bleeding cpt 45382

[tholcomb]

Good morning fellow Coders,

I have a question if a patient comes in for a screening colonoscopy and no polyps are found but the physician performing the procedure causes bleeding should we bill cpt code 45382 for control of bleeding?

Thank you,
TH

 

[bdobyns]

"11. Control of bleeding is an integral component of endoscopic procedures and is not separately reportable. If it is necessary to repeat an endoscopy to control bleeding at a separate patient encounter on the same date of service, the HCPCS/CPT code for endoscopy for control of bleeding is separately reportable with modifier 78 indicating that the procedure required return to the operating room (or endoscopy suite) for a related procedure during the postoperative period."

this is a quote from the NCCI Edits policy manual Chapter 6 which can be found:

http://cms.gov/Medicare/Coding/NationalCorrectCodInitEd/index.html

 

[coachlang3]

As mentioned above but more directly-no. Any bleed caused by the actual procedure is fixed as part of the procedure.

 

[tholcomb]

Thank you Ladies