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  • CPT® Code 45380 - Endoscopy Procedures on the Rectum - AAPC
    The Current Procedural Terminology (CPT ®) code 45380 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Rectum
  • Wiki - Medicare denial for Z12. 11 and 45380 - AAPC
    We billed an invoice to Medicare with ICD 10 codes Z12 11 and K64 1 and D12 7 CPT code is 45380 This means that the colonoscopy was a screening and a colon polyp and hemorrhoids were found 45380 was used because there was a biopsy performed We received a denial stating These are
  • Wiki - Billing 45380 and 45385 together - AAPC
    I'm new to Gastro billing My office is trying to get a clear answer as to whether 45380 and 45385 can be unbundled when billing professional charges We understand that it shouldn't be done for facility charges but need more information regarding the professional billing Any information or
  • Wiki - Denials CPT 45385 with 45380 - AAPC
    I am having a lot of denials from Blue Cross Medicare Advantage in Tennessee when billing 45385 and 45380 together I have tried several different modifiers on 45380 including, 59, XS XU and 59 51 The denial comes back stating claim specific negotiated discount Anybody have any ideas?
  • Wiki - 45382 with 45385 and 45380? - AAPC
    I know we cannot bill 45382 with 45380 if finding were in the same area but I need guidance if it is ok to bill them together if they are separate areas? Can I bill this as 45382 -59, 45385, AND 45380 -59? The OP note reads- (Any feedback is appreciated, thank you) A single sessile 5 mm polyp
  • Wiki - 45385,45380,45381 modifiers | Medical Billing and Coding Forum . . .
    Hello, I have codes 45385, 45380, and 45381 I’m adding modifiers 33 and 59, but wouldn’t I add 51 as well? 45385-33 45381- 33, 51,59 and 45380- 33, 51,59 My boss says not to add 51 because that’s to be added to example a flip (egd colon or egd flex)
  • Colonoscopy and EGD | Medical Billing and Coding Forum - AAPC
    You would not get paid for a 45380-colon with biopsy and a 45285-colon with polypectomy That is bundling
  • Wiki - Can 45385, 45380 45381 be billed together? - AAPC
    The base code for 45385, 45380, 45381 is 45378 You cannot bill 45378 with any other code, hence the "separate procedure" next to the code description All the other codes can be billed together, but, you have to make sure you know and understand the breakdown of the colon and its different areas If you e g perform a 45385 (snare) in the ascending colon, and a bx 45380, in the transverse
  • Wiki - CPT 43239 and CPT 45380- I need help please!
    We can bill both of these CPT Codes togther as both procedures need to be done on the same day and have the insurance pay for both procedures fully Right now some insurances are paying only 50% for the second one and some are not paying at all Can you help me find out is there a
  • Wiki - Billing for 2 Colonoscopy codes - AAPC
    The NCCI edit with column one CPT code 45385 (Flexible colonoscopy with removal of tumor (s), polyp (s), or lesion (s) by snare technique) and column two CPT code 45380 (Flexible colonoscopy with single or multiple biopsies) is often bypassed by utilizing modifier 59





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