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Well, it appears the snare and APC intervention are on the same polyp/lesion. According to the report, the scope was passed only to the transverse colon; as such, if the procedure was planned as a sigmoidoscopy then you would use CPT codes from the flexible sigmoidoscopy family of codes even if the scope went beyond the splenic flexure. If the procedure was planned as a colonoscopy, then you should bill these codes on your claim:
There is a difference between alligator and crocodile handbags. The quality of the skins matters, especially if you are paying for quality alligator or crocodile. One way to spot a genuine quality alligator handbag is to look for the umbilicus scar. Only alligators carry this mark and many makers of fine purses put the mark in a prominent place. The umbilicus scar looks like an elongated star with a fine webbing of lines.
? There are instances when it is a good idea to watch the writer while he writes. He may take his hand off the page and make a nearly conscious decision as to how the letter should be completed. If one goes over the letter without lifting the writing tool, one has to use what are called covering-up strokes-the upstroke and the downstroke share the same line. Covering-up strokes indicate that the writer is hiding something. It usually involves cheating in one manner or another, and hence the writer tries to show as little of himself as possible, avoiding separate up-strokes and downstrokes, since separate strokes would show more of his true personality than he wants to reveal.
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