According to NCCI policy manual if a procedure utilizing one approach fails and is converted to a procedure utilizing a different approach, only the completed procedure may be reported. Hence If esophageal dilation as described by CPT 43450 – CPT 43458 fails and is followed by an endoscopic esophageal dilation procedure, only the endoscopic esophageal…
CPT code(s) for colonoscopy range from 45378 to 45398 and are used to bill services when colonoscopies are performed to visualize the entire colon. This also includes the small intestine or terminal ileum proximal to anastomosis for diagnostic, therapeutic, and screening purposes. CPT Code For Colonoscopy Descriptions Colonoscopy procedures are reported with CPT codes 45378-45398…
An incomplete colonoscopy, e.g., the inability to advance the colonoscope to the cecum or colon-small intestine anastomosis due to unforeseen circumstances, is billed and paid using colonoscopy through stoma code CPT 44388, colonoscopy code CPT 45378, and screening colonoscopy codes CPT G0105 and CPT G0121 with modifier “-53.” (Code CPT 44388 is valid with modifier…
What is the CPT Code for the control of bleeding? Control of bleeding is an integral component of endoscopic procedures and is not separately reportable. If it is necessary to repeat an endoscopy to control bleeding at a separate patient encounter on the same date of service, the HCPCS/CPT code for endoscopy for control of…
Medicare currently covers: A. Annual screening fecal-occult blood test (FOBT) guaiac or immunoassayB. Screening flexible sigmoidoscopy every 4 years;C. Screening colonoscopy, every 2 years for persons at high risk or every 10 years for persons at average risk.D. Screening barium enema (G0106 and G0120) every 4 years as an alternative to a screening flexible sigmoidoscopy…
