Is CPT 45378 a screening colonoscopy?

What’s the right code to use for screening 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 is the CPT code for polypectomy?

58558
Polypectomy is a minimally invasive procedure in which doctors remove abnormal growths of tissue, called polyps, from inside your colon. The exam is done through hysteroscopy. In surgery, we have separate CPT code 58558, used for reporting polypectomy through hysteroscopy.

What is the difference between CPT code 45378 and 45380?

Insurance billing codes for screening colonoscopy have two components. For example, code 45378 applies to a colonoscopy in which no polyp is detected, while codes 45380-45385 apply to colonoscopy that involves an intervention (e.g., 45385 is the code for colonoscopy with polypectomy.)

How do you bill a colonoscopy with poor prep?

If you prep the patient for a screening or diagnostic colonoscopy and do not advance the scope due to obstruction, patient discomfort, or other complications; append modifier 53 (discontinued procedure) to report an incomplete colonoscopy.

What code modifier is 59?

Modifier 59 may be reported with code 11100 if the procedures are performed at different anatomic sites on the same side of the body and a specific anatomic modifier is not applicable.

What causes poor colonoscopy prep?

Low socioeconomic status, drugs, ASA ≥3, nausea and vomiting, or older age have been reported as risk factors for poor bowel cleansing (55).

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 is CPT 44345?

The Current Procedural Terminology (CPT) code 44345 as maintained by American Medical Association, is a medical procedural code under the range – Enterostomy-External Fistulization of Intestines Procedures.

What does CPT 84436 mean?

Medical Billing and Coding – Procedure code, ICD CODE. CMS (Medicare) has determined that Thyroid Testing (CPT Codes 84436, 84439, 84443, 84479) is only medically necessary and, therefore, reimbursable by Medicare when ordered for patients with any of the diagnostic conditions listed below in the “ICD-9-CM Codes Covered by Medicare Program.”