During a screening colonoscopy, the physician finds a polyp and does a hot biopsy. Should code 45378 (REVISED IN 2015), -Colonoscopy, flexible, proximal to splenic flexure; diag-nostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure), be reported for the colon screening in addition to code 45384 , Colonoscopy, flexible, proximal to splenic -flexure; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery, for the diagnostic -colonoscopy? ...
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Article Overview
This article explains a colonoscopy coding scenario involving a screening exam in which a polyp is found and treated during the same procedure. It is aimed at coding professionals and others who need to understand how the discussion addresses colonoscopy CPT coding, screening G-code counterparts, and the relationship between a screening service and the therapeutic procedure performed. The content focuses on general code-selection guidance for this situation without providing a full premium-level explanation.
Why This Topic Matters
Colonoscopy coding can affect claim accuracy and how screening services are reported when a therapeutic intervention occurs during the same encounter. This article helps readers determine whether the topic is relevant to their coding workflow and understand that the discussion centers on procedure classification and related code-family considerations.
What You Will Learn
- How the article frames a screening colonoscopy scenario with polyp treatment
- Which colonoscopy code families are discussed in relation to the scenario
- How the article approaches the distinction between screening and procedure-based reporting at a high level
- What kind of coding question the premium article addresses
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Billing specialists
- Compliance professionals
Codes Discussed
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