Surgery: Digestive System (Q&A) (January 2017)

January 2017 page 6b Surgery: Digestive System Question: What is the appropriate CPT code to report a colonoscopy during which two flat polyps in the transverse colon were removed via a saline injection-lift technique using a hot snare? Is a colonoscopy with a polypectomy removed by injection of epinephrine for a lift polypectomy reported differently? Answer: Submucosal injection of substances, whether saline or epinephrine, to lift the polyp and facilitate a polypectomy, is reported with code 45381, Colonoscopy, flexible; with directed submucosal injection(s), any substance. The polypectomy would be reported with code 45385, Colonoscopy, flexible; with removal of tumor(s)...

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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 2017 CPT Assistant Q&A focuses on digestive system surgery coding for colonoscopy procedures involving polyp removal techniques and related injection-assisted approaches. It is useful for coders, auditors, and billing staff who need to understand how the article frames common lower gastrointestinal endoscopic services, the CPT code set involved, and the broader distinction between related procedure types discussed in the guidance.

Why This Topic Matters

The article helps readers identify which colonoscopy services are being discussed and understand the coding context for injection-assisted lesion removal and endoscopic mucosal resection concepts without needing the premium text.

Article Sections

  1. Question

    Presents a coding scenario involving colonoscopy and polyp removal techniques in the transverse colon, along with a related question about another lift-polypectomy approach.

  2. Answer

    Summarizes the CPT coding concepts addressed in the article, including injection-assisted colonoscopy services, snare removal, and how the guidance distinguishes these procedures from a broader endoscopic resection concept.

What You Will Learn

  • How the article frames colonoscopy-related polyp removal scenarios
  • Which general CPT coding topics are discussed for injection-assisted endoscopic services
  • How the article distinguishes related digestive system procedure categories
  • What kinds of coding questions the January 2017 Q&A addresses

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance teams
  • Healthcare providers involved in endoscopic procedures

Codes Discussed

Modifiers Discussed


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