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CPT Code Code Descriptor 45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
See Tables 9-1, 9-2, and 9-3 for the specific CPT codes for small intestine pouch endoscopy, proctosigmoidoscopy, sigmoidoscopy (rigid, flexible) and colonoscopy. Two Healthcare Common Procedural Coding System (HCPCS) codes (G0105 and G0121) were developed by the Centers for Medicare and Medicaid Services (CMS) to differentiate between screening
CPT Code Code Descriptor 45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
ANSWER: A diagnostic colonoscopy is a procedure performed for the evaluation of a patient who presents with symptoms and/or abnormalities prompting evaluation of the lower GI tract. Standard insurance benefits apply.
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appropriate colonoscopy CPT code with NO modifier. Please see https://download.ama-assn.org/resources/ doc/cpt/x-pub/cpt-corrections-errata-2015.pdf for further information.
ASGE works closely to ensure that adequate methods are in place for gastroenterology practices to report and obtain fair and reasonable reimbursement for procedures, test and visits. ASGE has developed coding resources to assist practices in understanding and implementing the new and revised codes.
CPT Code Code Descriptor 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed
The NCCI PTP edit with column one CPT code 45385 (Flexible colonoscopy with removal of tumor(s), polyp(s), or lesion(s) by snare technique) and column two CPT code 45380 (Flexible colonoscopy with single or multiple biopsies) is often bypassed by using modifier 59 or -X{EPSU}.
Colonoscopy through stoma with transendoscopic ultrasound-guided intramural or transmural fine- needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures