CPT^® 45300, Under Endoscopy Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45300 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Rectum.

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Summary

In this procedure, the provider examines the inner part of the anus, rectum, and the sigmoid colon using a proctosigmoid scope, a short rigid instrument with a camera at its one end. He may also collect a sample of tissue by brushing or washing.

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Two surgeons performing different surgeries on the same patient, sequentially

Hi everyone, Hoping for some guidance on this, from all the Gen surgery coders in the thread! I was reading an op report, and the surgeon performed a Robotic low anterior resection, along with a rig... [ Read More ]

Correct way to code this incomplete colonoscopy

As I was reading this , I was gonna agree on 45330, however you said they didn't make it past the rectum..., and I'm positive they are coming back, and so I am leaning more on 45300 based on what info... [ Read More ]

use of Mod 57 and 25 mod 25 mod 57

All on the same day : Patient came in through ED, referred to Colorectal [B]99221 -57, -AI[/B]; had [B]44320[/B] Colostomy (major surgery 090); and [B]45300 -51[/B] Proctosigmoidoscopy (minor diagnost... [ Read More ]

Incomplete colonoscopy

The patient was scheduled and prepped for a full colonoscopy. The surgeon is unable to pass the scope due to poor prep. The new decision tree says if it doesn't reach the splenic flexure to code 453... [ Read More ]

Modifier 25 same day as minor procedure

I am still fairly new to coding, so hopefully someone else more experienced comes along. Since it is not an established patient, I would put a 25 on it. "You must, however, append modifier -25 (Sign... [ Read More ]

Can I bill 45300 with 46221?

In the past we have billing the Banding & Procto with modifier -XU and got paid for both CPT lines. Recently, we have been getting denied for bundling and only getting paid for the Hemorrhoid banding.... [ Read More ]

Colonoscopy coding

Depends on what instrumentation was used for the polypectomy through the stoma - 44389 for cold biopsy forceps, 44392 for hot biopsy forceps, 44394 for snare....etc. Then you would also code a 45330 ... [ Read More ]

45300- flexible proctosigmoidoscopy

[b]44388 with flexible (not rigid) proctosigmoidoscopy[/b] [QUOTE="bhunt, post: 203655, member: 165661"]This CPT code specifies Proctosigmoidoscopy, rigid and I do not see a different CPT for a flexi... [ Read More ]

47538 for 2018

45378 crosswalks to 00812. Looking through the ASA Crosswalk, Proctosigmoidoscopy (45300) crosswalks to 00811, and the diagnostic sigmoidoscopy crosswalks to 00811 too. It's strange that a diagnosti... [ Read More ]

Lap. colectomy with rigid proctosigmoidoscopy

can a rigid sigoimodscopy (45300) be billed at the same time as a colectomy (44207) if the sig is being done just to evaluate the anastomosis? It's passing CCI edits, and showing that no modifier is ... [ Read More ]

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