What is the average co pay for a colonoscopy?

Average cost of colonoscopy procedures Patients without health insurance typically pay $2,100 to $3,764, according to CostHelper.com. The average colonoscopy cost is $3,081. Patients with health insurance pay deductibles based on their plan. Deductibles range from zero to more than $1,000.

What if I can’t afford a colonoscopy?

Medicare and most insurance plans help cover the cost of routine colonoscopies, but if you don’t have insurance, you can still get a colorectal cancer screening. Independent ambulatory surgery centers can save you a lot of money for your medical needs, especially when compared to hospital pricing.

Does Medicare pay for repeat colonoscopy?

Medicare covers a colonoscopy every 120 months (10 years) for most people, and once every 24 months if you have a high risk of developing colon cancer.

How do I bill a diagnostic colonoscopy?

For commercial and Medicaid patients, use CPT code 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]).

What does 45385 stand for?

Per NCCI Manual: The NCCI PTP edit with column one CPT code 45385 (Flexible colonoscopy with removal of tumor (s), polyp (s), or lesion (s) by snare technique) and column two CPT code 45380 (Flexible colonoscopy with single or multiple biopsies) is often bypassed by utilizing modifier 59. Use of modifier 59 with the column two CPT code 45380 of this NCCI PTP edit is only appropriate if the two procedures are performed on separate lesions or at separate patient encounters.

What is CPT code 45385?

The Current Procedural Terminology (CPT) code 45385 as maintained by American Medical Association, is a medical procedural code under the range – Endoscopy Procedures on the Rectum.

What constitutes high risk colonoscopy?

A patient who is considered at high risk for colorectal cancer is entitled to a screening colonoscopy once every 24 months, Ray says. “High risk” includes factors such a personal history of colon cancer, inflammatory bowel disease, or adenomatous polyps, or a family history of familial adenomatous polyposis or nonpolyposis colorectal cancer.

Can colonoscopy remove polyps?

In most cases, small polyps can be removed during a colonoscopy, which is part of the colon cancer screening process. Your doctor will either snare the polyp with a wire that uses electricity to take it off or remove it with forceps if it’s really small.