ASC Coding Guidance | 合法醫療器材資訊網

2010年10月25日—Correctcode:(CPT45384=$380.23;CPT45380-59=$380.23/2approximateMedicarereimbursement).Codingtip:Ifthephysicianperformsand ...

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According to the AMA, "when used in a report, the term polypectomy does not define the procedure used to remove the polyp. Additional information is needed to determine the proper CPT code. Polyps of various sizes can be removed using different procedures."

Lets look at the following operative excerpt:

There were no abnormalities noted except for a 5-mm sessile polyp noted in the proximal transverse colon. A polypectomy was performed with removal using forceps (45380? or 45384?). In the descending colon, a 4-mm polyp was biopsied (45380). Further withdrawal of the scope revealed internal hemorrhoids. The scope was then withdrawn. The patient was then transferred to the Recovery Room in a stable condition.

Physician query is indicated since the technique of the polyp removal is not detailed in the operative report. I...