CPT^® 45388, Under Endoscopy Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45388 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 performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating the site before and after the procedure.

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Colonoscopy: Can I use K6389 (Other specified diseases of the intestine) with 45388, with a polyp documented?

Would code: [B]K6389[/B], be acceptable for both sides, facility only or can I use it at all, because the physician documented polyp, not lesion? I cannot use dx: [I]K635 (default for colon polyp)[/I]... [ Read More ]

Coloscopy - ERBE unit

getting familiar in coding for gastro, can anyone be my second eyes here, am I capturing appropriate codes. CPT: 45381, 45385 or should it be 45381,45388 There was a 13mm broad based　polyp located... [ 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 ]

Endoscopic lesion removal/biopsy multiple techniques--NCCI guidance?

Hello, I've read enough times in publications I deem authoritative that you can report each endoscopic CPT code separately when multiple techniques are used to remove or biopsy multiple lesions. For ... [ Read More ]

Colonoscopy with electrocauter

I agree with 45388... [ Read More ]

Colonoscopy with electrocauter

[QUOTE="CCANTER, post: 449872, member: 374680"]I am not sure exactly what CPT code to use the provider here is the procedure this was a colonoscopy A small semi-pedunculated polyp was found in the re... [ Read More ]

Colonoscopy with electrocauter

I am not sure exactly what CPT code to use the provider here is the procedure this was a colonoscopy A small semi-pedunculated polyp was found in the rectum. Destruction of tissue via ablation was at... [ Read More ]

Snare and Ablation

Hello, Would you bill both Snare (with injection) 45385 and ablation of lesion (45388) together? A 10 mm polyp was found in the cecum. The polyp was semi-sessile. The polyp was removed with a sali... [ Read More ]

Polyp Removal by snare, and ablation

Hi, I need advice on a polyp removal. The following shows a polyp removed by snare and also fulguration on that same lesion. I am being advised to code both 45385 for snare and 45388 for ablation. W... [ Read More ]

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