CPT^® 45382, Under Endoscopy Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45382 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 tubular instrument with a light source and camera, to identify the source of internal bleeding. He then controls the bleeding in the colon by various methods.

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Coding for Colonoscopy bleeds

I was told , many moons ago, that if you caused the bleed , you fix the bleed and you don't get to charge to fix that bleed. I have a provider who is sure I am wrong. Finally go this set straight . H... [ Read More ]

polyp removed with scissors?

Hooray! I would query if hot or cold biopsy. hot 45384 cold 45380 I disagree with the 45382 as bleeding is a part of the procedure Happy coding:)... [ Read More ]

polyp removed with scissors?

Hi I d use CPT 45382 cold forceps removal. Ensure use the dx of polyp removed from distal rectum descending colon) this as first dx. It is dx. D12.4, then dx. Z12.11 as last dx code. I hope this help... [ Read More ]

multiple polyps

[QUOTE="KoBee, post: 490610, member: 10103"] Can someone help better understand when we can unbundle polyps. can I still give credit for hemo clip since it was a different polyp in different site? ex... [ Read More ]

multiple polyps

Can someone help better understand when we can unbundle polyps. can I still give credit for hemo clip since it was a different polyp in different site? example: 3 polyp removal 1st polyp, 4mm locate... [ Read More ]

colonoscopy/EGD-control bleed

This colonoscopy is done for iron deficiency anemia. The provider placed the hemostatic clip to prevent bleeding post-intervention. There was no bleeding at the end of the procedure. My question is... [ Read More ]

Colonoscopy with cautery of AVM

[QUOTE="clarkmegan, post: 468286, member: 158166"] You will use 45382 or 45388 depending on the intent. Was it for control of bleeding or destruction/ablation? You may have to query the provider for t... [ Read More ]

Colonoscopy with cautery of AVM

You will use 45382 or 45388 depending on the intent. Was it for control of bleeding or destruction/ablation? You may have to query the provider for the reason. It does not have to be actively bleeding... [ Read More ]

Colonoscopy with cautery of AVM

Patient has a colonoscopy and the doctor discovers an AVM in the colon. He performs cautery. However, there is no documentation that the AVM is actively bleeding or that it was bleeding previously. ... [ Read More ]

45382

45382 is incidental to 45384/45385 if performed at the same site as the polyps and/or to control bleeding that occurred as a result of the removals. Per CPT, if "[I]bleeding occurs as a result of an ... [ Read More ]

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