Digestive System, 45380, 45385 (Q&A) (January 1996)

January 1996 page 7 Coding Consultation Digestive System, 45380, 45385 (Q&A) Question How do I code a flexible colonoscopy with removal of a polyp using a cold biopsy forceps? Would this be considered the same as a hot biopsy? AMA Comment The appropriate code for a colonoscopy with removal of a polyp by a cold biopsy is 45380 or 45385 depending on the actual technique employed. CPT code 45380, Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple, should be reported for the removal of portions of the polyp by cold biopsy forceps. CPT code 45385...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This January 1996 CPT Assistant Q&A focuses on digestive system colonoscopy coding and discusses how a polyp removal scenario is addressed under CPT guidance. It is relevant to coders, billers, and compliance staff who work with gastrointestinal endoscopy services and need to understand the article’s coding context and commentary. The article presents a coding consultation question, an AMA comment, and a brief explanation of the procedure context.

Why This Topic Matters

Articles like this help readers understand how a specific colonoscopy scenario is discussed in CPT guidance and why procedure technique matters to code interpretation. It is useful for professionals reviewing endoscopy documentation, coding education, and historical CPT references.

Article Sections

  1. January 1996 page 7

    Publication placement and context for the coding consultation content.

  2. Coding Consultation

    Introduces the Q&A format used to address a digestive system coding scenario.

  3. Question

    Presents the colonoscopy and polyp removal scenario submitted for coding guidance.

  4. AMA Comment

    Provides the editorial response and explanatory discussion related to the procedure technique and CPT context.

What You Will Learn

  • The article’s digestive system coding topic and Q&A structure
  • How CPT guidance is presented for a colonoscopy polyp-removal scenario
  • The type of procedural context discussed in relation to flexible colonoscopy
  • How historical coding consultation content is organized in CPT Assistant

Who Should Read This

  • Medical coders
  • Coding educators
  • Compliance professionals
  • GI/endoscopy billing staff
  • Clinical documentation reviewers

Codes Discussed


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