CPT^® 45342, Under Endoscopy Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45342 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 sigmoidscope, a flexible, narrow tube with a camera at its one end. He then uses the channel in the scope to perform an ultrasound guided fine needle aspiration and or biopsy of abnormal tissue.

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IPPE diagnosis code for reimbursement?

[QUOTE="Herbie Lorona, post: 386101, member: 45342"]What is the denial reason?[/QUOTE] The denial is the PR-167 This (these) diagnosis(es) is (are) not covered. Note: Refer to the 835 Healthcare Poli... [ Read More ]

Room Change for the January 12 Dayton Chapter AAPC Meeting

All attendees- Please note that there is a room change only for our Jan. 12 Meeting: Sycamore Hospital 4000 Miamisburg Centerville Rd, 4th Floor Miamisburg, OH 45342 Also- I will be emailing all Cha... [ Read More ]

January >= Codes

20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance 20604 with ultrasound guidance, with permanent recording and reporting (Do no... [ Read More ]

Medicare patients paying up front?

[QUOTE="Herbie Lorona, post: 298669, member: 45342"]I think we would need more information. What exactly do you mean you cant for Medicare? Are you talking about collecting what they will owe for that... [ Read More ]

That time of year

[QUOTE="Herbie Lorona, post: 283563, member: 45342"]I'm looking forward to see some more Doug Martin run over some teams. Wish I had him in my fantasy league again this year!!![/QUOTE] He saved my fa... [ Read More ]

Dosage Question and NDC for J codes

[b]Ms.[/b] [QUOTE="Herbie Lorona, post: 199657, member: 45342"]When I bill for J codes it is usually just by units. You have to look at the code description and see how much it is for. Depending on t... [ Read More ]

Cpt 453 and 93976

Am I able to bill procedure 43242,45341-45342 or 45391, or 43259 with 93976 with a 26 mofifier PLEASE HELP :(... [ Read More ]

AWV initial or subsequent

[QUOTE="Herbie Lorona, post: 212389, member: 45342"]From what I understand if the patient has never received there intial AWV then you would bill that. If you bill an Initial and they already have rec... [ Read More ]

New patient or not???

[QUOTE="Herbie Lorona, post: 209847, member: 45342"]When one of your providers is covering for another Dr (not part of same group) I know that the visit is not considered a new patient. What happens i... [ Read More ]

Dvt 45340?

Outpatient Radiology- Patient has Deep venous thrombosis below and above the knee on the right, the left leg is normal. It does not say distal or proximal 45341 or 45342, so should I use 45340? With ... [ Read More ]

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