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1 mar 2022 · For a screening colonoscopy: For commercial and Medicaid patients, report CPT® code 45378 Colonoscopy, flexible; diagnostic, including collection of specimens(s) by brushing or washing, when performed (separate procedure).
The CPT codes for colonoscopy cover procedures in which providers use a colonoscope to perform an exam of the rectum and colon of a patient. They insert a long and flexible tube with a camera to view the patient’s colon to look for abnormalities.
Colonoscopy codes are listed in the digestive section of CPT, codes 45378–45398 (or codes 44388–44408, if performed through a stoma rather than the anus). CPT code 45378 is the base code for a colonoscopy without biopsy or other interventions. It includes brushings or washings, if performed.
1 paź 2019 · Payment for a colonoscopy performed in the office is subject to recovery when colonoscope information is not available to the contractor. An incomplete colonoscopy is defined by CMS in the IOM at 100-4, Chapter 12, Section 30.1.B; Incomplete Colonoscopies (Codes 44388, 45378, G0105 and G0121).
The primary CPT code for a screening colonoscopy is 45378. This code should be used when a colonoscopy is performed on an asymptomatic individual for routine screening purposes. Additionally, the modifier 33 should be added to the CPT code to indicate that it is a preventive service.
For commercial and Medicaid patients, use CPT code 45378 (Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression [separate procedure]).
