If hemorrhoid banding is performed during a colonoscopy, is code 45398, reported alone, or should

If hemorrhoid banding is performed during a colonoscopy, is code 45398, reported alone, or should codes 45378 and 46221 be reported? The operative note states Non-bleeding internal hemorrhoids were observed upon retroflexion of the colonoscope. As a separate procedure, the slotted anoscope was inserted, directed toward the column of hemorrhoid to be banded. The hemorrhoid was banded in the usual fashion using the suction ligator with the Barron technique and the right posterior column of hemorrhoids was banded.

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CPT Knowledgebase - Jan 19, 2018