CPT^® 45378, Under Endoscopy Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45378 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Rectum.

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Summary

The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush passed through the scope or irrigates the area with warm saline and aspirates the washings through the scope. He sends the specimens to the laboratory for diagnostic analysis.

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Screening colonoscopy - Hemorrhoids

The coding would depend on what was documented in the operative report, but your first scenario is most likely the correct one. If the procedure was only a screening and the hemorrhoids and divertic... [ Read More ]

Screening colonoscopy - Hemorrhoids

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Colonoscopy screening to diagnostic

They didn't treat the anal fissure, but it was a finding. Patient did not have any diagnosis before the screening. I coded the 45378 with a 33 modifier to indicate a finding. Is that incorrect? Does... [ Read More ]

Colonoscopy screening to diagnostic

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Colonoscopy screening to diagnostic

[QUOTE="scrawford1690@gmail.com, post: 511587, member: 424140"] Hi everyone, I coded a screening colonoscopy to be diagnostic due to a finding of an anal fissure. I thought if anything is find during... [ Read More ]

Colonoscopy screening to diagnostic

Hi everyone, I coded a screening colonoscopy to be diagnostic due to a finding of an anal fissure. I thought if anything is find during a colonoscopy screening to code the diagnostic code 45378 (if ... [ Read More ]

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Hello, Thank you for providing this information. Like i stated above this could be tricky because it looks like the providers information for the colonoscopy was "within" the note of the other provi... [ Read More ]

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Colonoscopy questions typically not answered in webinars

Hello, 1) only use screening code if documented don't assume. if not on OP but as dx for HP that is ok. hx codes can never be primary dx. As such Z12.11 will always be primary with the hx codes. You ... [ Read More ]

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