Question: A patient presented with a pseudo-obstruction in the colon. The surgeon placed a decompression tube via guidewire during a colonoscopy. Can we report separate codes for the colonoscopy and decompression tube placement?
Arkansas 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. Code 45378 is the correct code for a diagnostic colonoscopy "with or without decompression," according to CPT's definition.
