AMA CPT® Assistant - 2007 Issue 11 (November)

Surgery: Digestive System (November 2007)

November 2007 page 8d Coding Communication:Surgery: Digestive System Question: A patient has a colostomy and a physician performs a colonoscopy to the cecum through the colostomy, which is reported with 44388, Colonoscopy through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure). The scope is withdrawn and inserted into the rectum up 30 cm to review the Hartmann pouch. Is it appropriate to report CPT code 44388 and 45330, Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure), or is it only appropriate to report CPT code 44388...

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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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