tci General Surgery Coding Alert - 2013 Issue 2
Reader Question: Colonoscopy Code Impervious to Light Color
Question: What is the appropriate CPT® code for a colonoscopy when documentation states "White light and narrow band imaging modes were used to examine the entire colon?" No biopsies or other procedures performed with the colonoscopy. Arkansas Subscriber Answer: In the scenario that you have described, you should report 45378 (Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen[(s] by brushing or washing, with or without colon decompression [separate procedure]), because your surgeon viewed the colon without performing any other procedures such as biopsy. The standard colonoscopy techniques makes use of a white light...
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