Gastroenterology Coding Alert

Question: Is there a code for colonoscopy with decompression of the volvulus and tube placement?

Texas Subscriber

Answer: You should not report the colonoscopy and tube placement independently. On the claim, report only 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]) for the procedure. According to CPT's definition, 45378 is the code to report when the gastro performs a diagnostic colonoscopy "with or without decompression."