tci Outpatient Facility Coding Alert - 2014 Issue 12

Reader Question: Use 45378 for Routine Colonoscopy, Not 45380

Question: During a patient’s routine screening colonoscopy, there were approximately a dozen white thin parasites seen. Fluid aspiration was performed through the scope suction channel and samples were sent to lab. How should I code this? Florida Subscriber Answer: You should report with 45378 (Colonoscopy, flexible...; diagnostic, with or without collection of specimen[s] by brushing or washing, with or without colon decompression  [separate procedure]). In this procedure, the provider examines the inner part of the colon and rectum using a colonoscope, a flexible tube with a camera at its one end. He then may also perform a brushing...

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