CPT Knowledgebase - Jun 12, 2015

A patient has a colostomy and a physician performs a colonoscopy to the cecum through the colostomy, which is reported with 44388 (REVISED IN 2015), Colonoscopy through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure). The scope is withdrawn and inserted into the rectum up 30 cm to review the Hartmann pouch. Is it appropriate to report CPT code 44388 and 45330, Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure), or is it only appropriate to report CPT code 44388?

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