AMA CPT® Assistant - 2015 Issue 9 (September)

Surgery: Digestive System (Q&A) (September 2015)

September 2015 page 12bb Surgery: Digestive System Question: Which code would be appropriate to report, 45330, Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) or 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure), if the physician is unable to advance the colonoscope to the cecum? Answer: As stated in the guidelines, CPT code 45378 would be reported with modifier 53, Discontinued Procedure, appended as the colonoscopy wasn't complete to the cecum. If the colonoscope does not reach the splenic flexure, code 45330 would be...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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