tci General Surgery Coding Alert - 2020 Issue Q4

You Be the Coder: Distinguish Proctosigmoidoscopy and Anoscopy

Question: Our surgeon used a rigid scope to rule out colitis for a patient complaining of abdominal cramps, blood in the stool, diarrhea, and frequent bowel movements. The surgeon examined the rectum and a portion of the descending colon and took a biopsy. How should we code this? South Carolina Subscriber Answer: The best code selection for the work you describe is 45305 (Proctosigmoidoscopy, rigid; with biopsy, single or multiple). The clues that lead to this code selection include the type of scope (rigid versus flexible) and how far the surgeon advances the scope (beyond the rectum, but not...

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