Submucosal Injections with Colonoscopy

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August 8, 2014

Question:

Our colorectal surgeon injected “India ink” at the site of a polyp removal. The surgeon is telling me this is a separately reportable procedure and I am saying it is not because you can only report one procedure per polyp. Who is correct?

Answer:

In this case, the surgeon is correct. CPT code 45381 Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substance describes this procedure and is separately reportable with the polyp removal.