Andi L asked:
I would like to see an example of the proper coding for a screening colonoscopy where multiple polyps are found and removed by more than one technique. Patient comes in for screening colonoscopy; doctor removes a descending colon polyp by hot snare polypectomy and a transverse colon polyp by cold biopsy. I am unsure if you put the preventative modifier on both the 45385 and 45380; and if the Z12.11 code needs to go with both of the CPT codes as well. Can you please provide an example of the proper complete coding with modifiers and diagnoses for this type of scenario? Thank you.
Answer:
Tiffany Baca wrote:
Hi Andi. Yes; you would need to append modifier 33 to both 45385 and 45380 and you would only need to report Z12.11 once.
For example; a patient came in for a screening colonoscopy and the doctor found a polyp in the rectum which was removed by snare technique and another polyp in the cecum which was removed by cold biopsy. This would be coded as 45385-33 and 45380-33; Z12.11; K62.1; and K63.5.
I would like to see an example of the proper coding for a screening colonoscopy where multiple polyps are found and removed by more than one technique. Patient comes in for screening colonoscopy; doctor removes a descending colon polyp by hot snare polypectomy and a transverse colon polyp by cold biopsy. I am unsure if you put the preventative modifier on both the 45385 and 45380; and if the Z12.11 code needs to go with both of the CPT codes as well. Can you please provide an example of the proper complete coding with modifiers and diagnoses for this type of scenario? Thank you.
Answer:
Tiffany Baca wrote:
Hi Andi. Yes; you would need to append modifier 33 to both 45385 and 45380 and you would only need to report Z12.11 once.
For example; a patient came in for a screening colonoscopy and the doctor found a polyp in the rectum which was removed by snare technique and another polyp in the cecum which was removed by cold biopsy. This would be coded as 45385-33 and 45380-33; Z12.11; K62.1; and K63.5.
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