How To Use CPT Code 45307

CPT 45307 describes a specific procedure known as proctosigmoidoscopy with removal of a foreign body. This article will provide an overview of CPT code 45307, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 45307?

CPT 45307 is a code used to describe a procedure called proctosigmoidoscopy with removal of a foreign body. This procedure involves the insertion of a scope into the lower gastrointestinal (GI) tract to inspect the anal canal, rectum, and sigmoid colon. The physician performs this procedure to identify and remove any foreign objects present in these areas.

2. Official Description

The official description of CPT code 45307 is: ‘Proctosigmoidoscopy, rigid; with removal of foreign body.’

3. Procedure

1. During the proctosigmoidoscopy procedure, the physician administers anesthesia to the patient.
2. Next, the physician inserts a rigid scope into the anal canal, rectum, and sigmoid colon, which typically ranges from 6 cm to 25 cm in length.
3. The physician carefully inspects these areas for the presence of a foreign body.
4. If a foreign body is identified, the physician uses specialized devices, such as grasping forceps, to remove it.
5. The procedure concludes once the foreign body has been successfully removed.

4. Qualifying circumstances

CPT 45307 is used when a patient requires a proctosigmoidoscopy with removal of a foreign body. This procedure is typically performed on patients who have ingested or inserted a foreign object into their lower GI tract. The physician must use a rigid scope for the examination and removal of the foreign body.

5. When to use CPT code 45307

CPT code 45307 should be used when a physician performs a proctosigmoidoscopy with the specific intention of removing a foreign body from the lower GI tract. It is important to note that this code should not be used for routine proctosigmoidoscopy procedures without the removal of a foreign body.

6. Documentation requirements

To support a claim for CPT code 45307, the physician must document the following information:

• The reason for the proctosigmoidoscopy procedure and the need for foreign body removal
• Details of the foreign body, including its location and size
• Date and time of the procedure
• Any complications or additional procedures performed during the proctosigmoidoscopy
• Signature of the performing physician

7. Billing guidelines

When billing for CPT code 45307, ensure that the procedure performed matches the description of proctosigmoidoscopy with removal of a foreign body. It is important to follow the specific guidelines and documentation requirements outlined by the payer. Additionally, consider any applicable modifiers or bundling rules when reporting this code.

8. Historical information

CPT code 45307 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A physician performing a proctosigmoidoscopy with removal of a foreign body, such as a swallowed coin, from a pediatric patient.
2. A gastroenterologist using CPT code 45307 to document the removal of a rectal foreign body, such as a toy, from an adult patient.
3. A surgeon performing a proctosigmoidoscopy with removal of a foreign body, such as a fishbone, from a patient with gastrointestinal complaints.
4. An emergency room physician utilizing CPT code 45307 to document the removal of a rectal foreign body, such as a bottle cap, from a patient who presented with abdominal pain.
5. A colorectal specialist performing a proctosigmoidoscopy with removal of a foreign body, such as a pen cap, from a patient with a history of psychiatric disorders.
6. A pediatric gastroenterologist using CPT code 45307 to document the removal of a rectal foreign body, such as a button battery, from a young child.
7. A general practitioner performing a proctosigmoidoscopy with removal of a foreign body, such as a dental appliance, from an elderly patient.
8. An interventional radiologist utilizing CPT code 45307 to document the removal of a rectal foreign body, such as a magnet, from a patient who accidentally swallowed it.
9. A surgical oncologist performing a proctosigmoidoscopy with removal of a foreign body, such as a piece of wire, from a patient with a history of colorectal cancer.
10. A gastroenterology fellow using CPT code 45307 to document the removal of a rectal foreign body, such as a key, from a patient during a training procedure.