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tci General Surgery Coding Alert - 2006 Issue 6

READER QUESTIONS: Pass the Splenic Flexure, Report Colonoscopy

Question: Our doctor attempted a colonoscopy with decompression. He passed the splenic flexure and saw stool in the transverse colon. However, he never got past the transverse colon and did not see the ascending colon. Is this an incomplete colonoscopy (45378-53) or a sigmoid-oscopy with decompression (45337)?Pennsylvania Subscriber Answer: If your physician intended to do a complete colonoscopy (the patient was prepped for a colonoscopy, he used a standard colonoscope and medicated the patient for a colonoscopy) and the documentation is clear that he passed the splenic flexure, you may report a complete colonoscopy using 45378 (Colonoscopy, flexible...

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