suzannereed
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Which code is correct? The op report states procedure performed "attempted colonoscopy which is converted to a left-side colonoscopy." The report states "in the left lateral decubitus position a Fujinon videocolonoscope was placed in the rectal vault and advanced to 70cm but were challenged with pelvix fixation of the sigmoid colon, loss of mobility, and inability to safely or comfortably proceed down to this point. We did not identify landmarks of the transverse colon or the splenic flexure. I believe we probably examined the left colon with entirety and its mucosa was normal. There was no diverticular disease. No mass lesion. No inflammatory disease. In scope retroflexion of the rectal vault was normal. Impression; Pelvic fixation precluding and limiting total colonoscopy to the cecum." Any thoughts on this? I am leaning towards a 45378-52 with op report included. Please help.