The descriptor for code 45384 , Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps, was revised in the CPT 2015 code set to no longer include bipolar cautery as the method used to perform this procedure. What is the appropriate code to report a colonoscopy with polypectomy in which bipolar cautery is used to remove the polyp? ...
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Article Overview
This brief coding article reviews a CPT 2015 descriptor revision for colonoscopy with removal of lesions and addresses the reporting question that arises when a polypectomy procedure uses bipolar cautery. It is useful for coders, billers, and audit staff who need to understand the scope of the descriptor change and how the article frames the appropriate reporting approach.
Why This Topic Matters
Descriptor changes can affect procedure reporting, claim accuracy, and audit consistency. This article helps readers recognize that a CPT wording update may alter how a familiar colonoscopy service is interpreted in coding workflows.
What You Will Learn
- What changed in the CPT 2015 descriptor for a colonoscopy removal code
- How the article frames a reporting question involving a colonoscopy polypectomy technique
- Why descriptor wording matters for procedure coding workflows in colonoscopy services
- How a brief coding guidance article addresses an electrocautery-based removal method in general terms
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Gastroenterology practice staff
Codes Discussed
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