tci General Surgery Coding Alert - 2001 Issue 4

You Be the Coder: Flexible Sigmoidoscopy With Prior Colectomy

Question: Our surgeon performed a flexible sigmoidoscopy through the rectum and into the small bowel, where a biopsy was taken. The patient had undergone a subtotal colectomy several years earlier. How should I code? Florida SubscriberTest your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.Answer: The only billable code in this situation is 45331 (sigmoidoscopy, flexible; with biopsy, single or multiple), says Kathleen Mueller, RN, CPC, CCS-P, an independent general surgery coding and reimbursement specialist in Lenzburg, Ill. The flexible sigmoidoscope is able to access the patients small...

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