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Gastroenterology Coding Alert

READER QUESTIONS:

Know Base Colonoscopy Components for Best Coding

Published on Tue Oct 27, 2009

Question: I have encounter notes that indicate the gastroenterologist performed a "Colonoscopy w/decompression volvulus." What colonoscopy code represents this service? Massachusetts Subscriber Answer: You should report 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 this colonoscopy. The 45378 code includes volvulus decompression, referred to as "colon decompression" in the 45378 descriptor.
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