tci General Surgery Coding Alert - 2018 Issue 9
Reader Question: Distinguish Anoscopy, Proctosigmoidoscopy
Question: A patient presented with frequent constipation and blood in the stool. The surgeon performed an anoscopy in the office using a rigid scope, but we received a denial for the claim for 45300. The symptoms show medical necessity for 45300, so what could be the problem? SuperCoder Subscriber Answer: You stated that the surgeon performed an anoscopy, which you should not report using 45300 (Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)), because that code describes proctosigmoidoscopy. Instead, you should report 46600 (Anoscopy; diagnostic, including collection of specimen(s) by brushing or...
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