May 28, 2020
Can we charge a 31231 and a 30901, 30903, or 30905 if the scope is withdrawn and then the cautery is done?
No. CPT 31231 is a diagnostic procedure and includes the parenthetical statement “separate procedure.” That means 31231 is included in a more definitive therapeutic/treatment procedure at the same operative session. Report either CPT code 31231 or 30901 (or 30903 or 30905), but not both codes.
*This response is based on the best information available as of 05/28/20.