What are the CPT codes for colonoscopy?
Group 1
| Code | Description |
|---|---|
| 45378 | COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE) |
| 45379 | COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S) |
| 45380 | COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE |
Can CPT 45380 and CPT 45385 be billed together?
Therefore, if 45380-59 is submitted with 45385–both reimburse separately. If on appeal, it is documented that one lesion was biopsied and another lesion was removed then both may reimburse separately.
How do you bill for a colonoscopy?
CPT code 45378 is the base code for a colonoscopy without biopsy or other interventions. It includes brushings or washings, if performed. If the procedure is a screening exam, modifier 33 (preventative service) is appended.
What is CPT modifier PT?
Modifier PT The PT modifier (colorectal cancer screening test, converted to diagnostic test or other procedure) is appended to the CPT® code. Add modifier PT to the CPT® codes above to indicate that a scheduled screening colonoscopy was converted to a diagnostic or therapeutic procedure.
What is the Medicare CPT code for a colonoscopy?
These codes are equivalent to and are used in place of CPT code 45378 when reporting outpatient colonoscopies for screening of colorectal cancer on Medicare patients. Code G0105 is used for reporting a screening colonoscopy for patients who are at high risk for colorectal cancer.
How do you code a screening colonoscopy?
– Z12. 11: Encounter for screening for malignant neoplasm of the colon. – Z80. 0: Family history of malignant neoplasm of digestive organs. – Z86. 010: Personal history of colonic polyps.
What is the procedure code for a colonoscopy?
non-Medicare payors, use the CPT conventions. Colonoscopy codes are listed in the digestive section of CPT, codes 45378–45398 (or codes 44388–44408, if performed through a stoma rather than the anus). CPT code 45378 is the base code for a colonoscopy without biopsy or other interventions. It includes brushings or washings, if performed.
What is the CPT code for colonoscopy with biopsy?
There various procedures of colonoscopy cause the existence of several different CPT Codes for Colonoscopy with Biopsy, Polypectomy, APC. 45380 is Colonoscopy with biopsy, single or multiple. Describes the use of forceps to grasp and remove a small piece of tissue without the application of cautery.