which modifier??

Our physician performed a colonoscopy and removed a polyp. While the patient was still in the endoscopy recovery room, the patient began to bleed from the polypectomy site. The patient was then brought back to the procedure room where a flex sig with bleeding control was performed. What modifier do I use for the 45334? I bill for the physician, not the facility. Thank you for your help!!!!!

Chris Kraft, CPC
Digestive Disease Consultants
1302 Franklin Ave. Suite 4800
Normal, IL 61761
309-454-5900

Comments

  • I would say a 78 mod would be appropriate.


    Jill Oechsle, CPC | Coding Specialist II | CentraCareHealth
    * (320) 251-2700 ext. 24559 | * Oechslej@centracare.com
  • Thank you Jill - I used a -78 initially and the claim was denied stating 45334 is inclusive. We are sending records etc but I just wanted to see if others thought I should be using a different modifier. Thank you.

    Chris Kraft, CPC
    Digestive Disease Consultants
    1302 Franklin Ave. Suite 4800
    Normal, IL 61761
    309-454-5900
  • Does anyone have any advice for me on this? Modifier -78 is not working. Thank you!

    Chris Kraft
    Digestive Disease Consultants
    1302 Franklin Ave. Suite 4800
    Normal, IL 61761
    309-454-5900
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