How To Use CPT Code 3775F

CPT 3775F describes the detection of adenomas or other neoplasms during a screening colonoscopy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 3775F?

CPT 3775F can be used to document the presence of adenomas or other neoplasms during a screening colonoscopy. This code is used when the provider inspects the colon and rectum using a colonoscope and detects abnormal tissue, such as adenomas or other neoplasms. The presence of these abnormal tissues is then documented in the patient’s record.

2. Official Description

The official description of CPT code 3775F is: ‘Adenoma(s) or other neoplasm detected during screening colonoscopy (SCADR).’

3. Procedure

1. The provider performs a screening colonoscopy on a patient who is 50 years or older using a colonoscope.
2. During the colonoscopy, the provider inspects the lumen of the colon and rectum to check for the presence of adenomas or other neoplasms.
3. If any adenomas or other neoplasms are detected, the provider takes one or more samples of the abnormal tissue for further analysis.
4. The samples are sent to pathology to determine the nature of the adenomas or neoplasms.
5. The provider documents the presence of the adenomas or other neoplasms and the date of the screening colonoscopy in the patient’s record.

4. Qualifying circumstances

Patients eligible for CPT 3775F are those who undergo a screening colonoscopy and have adenomas or other neoplasms detected during the procedure. Adenomas are benign tumors that may carry a risk of developing into cancer. The presence of these abnormal tissues is documented during the screening colonoscopy, which is typically performed on patients who are 50 years or older.

5. When to use CPT code 3775F

CPT code 3775F should be used when the provider detects adenomas or other neoplasms during a screening colonoscopy. It is important to note that this code is specific to the detection of abnormal tissue during a screening colonoscopy and should not be used for other procedures or circumstances.

6. Documentation requirements

To support a claim for CPT 3775F, the provider must document the following information:

• The presence of adenomas or other neoplasms detected during the screening colonoscopy
• The date of the screening colonoscopy
• Any additional details or findings related to the adenomas or neoplasms

7. Billing guidelines

When billing for CPT 3775F, ensure that the procedure meets the criteria for a screening colonoscopy and that adenomas or other neoplasms are detected during the procedure. It is important to follow the specific guidelines and documentation requirements for this code to ensure accurate billing and reimbursement.

8. Historical information

CPT 3775F was added to the Current Procedural Terminology system on January 1, 2015. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a screening colonoscopy on a patient who is 55 years old and detects adenomas during the procedure.
2. During a routine screening colonoscopy, the provider identifies the presence of other neoplasms in a patient who is 60 years old.
3. A 52-year-old patient undergoes a screening colonoscopy, and the provider documents the detection of adenomas during the procedure.
4. During a screening colonoscopy for a patient who is 58 years old, the provider identifies the presence of other neoplasms in the colon and rectum.
5. A provider performs a screening colonoscopy on a 56-year-old patient and detects adenomas during the procedure.
6. During a routine screening colonoscopy, the provider identifies the presence of other neoplasms in a patient who is 53 years old.
7. A 59-year-old patient undergoes a screening colonoscopy, and the provider documents the detection of adenomas during the procedure.
8. During a screening colonoscopy for a patient who is 54 years old, the provider identifies the presence of other neoplasms in the colon and rectum.
9. A provider performs a screening colonoscopy on a 57-year-old patient and detects adenomas during the procedure.
10. During a routine screening colonoscopy, the provider identifies the presence of other neoplasms in a patient who is 51 years old.