CPT^® 45305, Under Endoscopy Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45305 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 also takes one or more biopsies of tissue from the area.

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45300 + 45305

You would not want to bill both codes. If the physician did a biopsy you would only code 45305 as the code states single or multiple. Now if the physician used a different technique such as snare (45... [ Read More ]

45300 + 45305

Wondering if someone can clear up some confusion on use of these 2 codes together. From what I understand the 45300 is proctosig with or without collection of specimen...so if a biopsy was collected,... [ Read More ]

Proctosigmoidoscopy with I and D CPT codes i and d proctosigmoidoscopy

Hello all, I am fairly new to GI coding. I have attached the OP report. I am coming up with codes 10060, 45305-51 I do not feel completely confident with these codes. Any help would be much apprecia... [ Read More ]

Proctosigmoidoscopy with I and D CPT codes i & d proctosigmoidoscopy

Hello all, I am fairly new to the GI world. I have attached the OP note for this procedure. I have come up with codes 10060, 45305-51 I do not feel completely confident with these. Any help would be... [ Read More ]

Flex sigmoidoscopy or proctosigmoidoscopy?

[b]Flex sig?[/b] It sounds like the doc used a flexible scope "scope was retroflexed". Can you bill a proctosigmoidoscopy when a flexible scope was used? The code 45305 says "Proctosigmoidoscopy, r... [ Read More ]

Separate procedure- all or part?

[b]Separate Procedure?[/b] Colorectal surgeon, I believe that LadyAg is asking if the '(separate procedure)' designation applies to 45300, 45303, and 45305, or just to 45300?... [ Read More ]

Separate procedure- all or part?

45300 would be included in both 45303 and 45305. Is that your question?... [ Read More ]

Separate procedure- all or part?

I am uncertain on the following cpt code how much is to be considered a separate procedure- just the main code 45300, or all of the indented codes as well? 45300 Proctosigmoidoscopy, rigid; diagnosti... [ Read More ]

Flex sigmoidoscopy or proctosigmoidoscopy?

The scope was introduced into the anus. This was advanced a distance of about 20 cm. The anastomosis between the colon and jejunum was easily identified and was found to be intact without abnormality.... [ Read More ]

proctosigmoidoscopy

I would be careful...did he actually do the biopsies with the proctosigmoidoscope? I bet he used the proctosigmoidoscope to exam the rectum to make sure there were no other tumors, masses, etc further... [ Read More ]

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