Question: What are the limitations of colonoscopy (44388-44397; 45355- 45392)?
Delaware Subscriber
Answer: Be wary if your gastroenterologist performed colonoscopy for the following conditions. Colonoscopy is generally not covered for treating them. You should have additional documentation that indicates the medical necessity of the procedure when you submit your records for review by the payer. These conditions are:
How it’s done: Colonoscopy is a visual examination of the lining of the large intestine with a rigid or flexible video or fiberoptic endoscope. The colonoscope is inserted anally or through a stoma and is advanced through the large intestine to the ileocecal valve under direct vision using the scope’s optical system.