Outpatient Facility Coding Alert
Use 45378 for Routine Colonoscopy, Not 45380
Question: During a patient’s routine screening colonoscopy, there were approximately a dozen white thin parasites seen. Fluid aspiration was performed through the scope suction channel and samples were sent to lab. How should I code this?
Florida Subscriber
Answer: You should report with 45378 (Colonoscopy, flexible...; diagnostic, with or without collection of specimen[s] by brushing or washing, with or without colon decompression [separate procedure]).
In this procedure, the provider examines the inner part of the colon and rectum using a colonoscope, a flexible tube with a camera at its one end. He then may also perform a brushing or washing of the colon to collect specimens. He may also perform a colon decompression during this procedure. You should not use 45380 (Colonoscopy, flexible; with biopsy, single or multiple) because the surgeon did not perform an actual biopsy.
Outpatient Facility Coding Alert
- Billing 101:
Get Versed in Successfully Handling 3 Compliance Issues for ASCs
Follow these 3 steps to navigate all your claims. Many aspects of coding and billing [...] - Procedure Focus:
Manage De Quervain's Syndrome By Zeroing in on Injection and Incision Sites
First step: Confirm the extent of tenosynovitis and injection site. You can take the tension [...] - ICD 10:
Ensure You're Prepared to Get Staff Prepped for ICD-10
Be prepared to clock in for an approximate 16 hours of coding training. With ICD-10 [...] - Clip and Save:
Remember 9 Checkpoints for All Your ASC Claims
Billing for ASC services can be quite different from billing for inpatient facilities or physician [...] - You Be the Coder:
Understand How to Count Exam Element Obtained Through a Scope
Question: When reviewing my physician’s notes, how should I count exam elements when they are obtained [...] - Reader Question:
Report 99455 or 99456 for Work Related Exams
Question: How do you code for a work related exam? Arkansas Subscriber Answer: There are two CPT® [...] - Reader Question:
Use 45378 for Routine Colonoscopy, Not 45380
Question: During a patient’s routine screening colonoscopy, there were approximately a dozen white thin parasites seen. [...] - Reader Question:
Don't Always Count on Time for Modifier 22
Question: One of my doctors performed a procedure to excise a lesion on an obese patient. [...] - Reader Question:
Hook in Extracapsular Cataract Removal With 66982
Question: Our ophthalmologist wants me to submit a claim for 66982, along with stretching of the [...] - Reader Question:
Find Out Whether 31295 Is Coupled With Another Procedure
Question: One of our third-party insurers has sent two denials for claims with code 31295 on [...]
