Wiki two colons billed on same day

[tpontillo]

I have a situation and I am not sure how it should have been billed. Patient came in for her colon and the dr discontinued because of poor prep. Patient then came back in the afternoon and the dr did complete the colonoscopy. We billed 45378-53 and 45385-76. Of course bluecross denied the 45378-53. Is this the proper way to code this? I have never billed for the procedure being repeated on the same day.

 

[scorrado]

I would think if he was able to complete the procedure the same day then you would just bill the colonoscopy once. I have never run into this before but that is what I would do. Hope this helps!

 

[tpontillo]

Thats what I would have done also. But my manager billed it this way and now she wants me to appeal this

 

[hbeard]

do you need the -76 on the second colonoscopy code since the first one doesn't have a global period? i would resend claim with documentation attached