CPT 45330 can be used to bill incomplete colonoscopy. Below the description, billing guidelines and reimbursement for this procedure.
45330 CPT Code Description
CPT 45330 can be billed for incomplete colonoscopy. An incomplete colonoscopy is for example the inability to extend beyond the splenic flexure, is billed and paid this code.
The official description of the 45330 is:
“Sigmoidoscopy. Diagnostic and flexible. Including collection of specimen or specimin by brushing or washing when performed (separate procedure).
CPT 45330 can be reported in conjuction with modifier 53. Do not report it with the following codes:
45330 CPT Code Reimbursement
The Medicare physician fee schedule database has specific values for CPT 45330 (sigmoidoscopy).
As failure to extend beyond the splenic flexure means that a sigmoidoscopy rather than a colonoscopy has been performed. CPT 45378 with modifier 53 should be used when an incomplete colonoscopy has been done and not CPT code 45330 since the MPFSDB (Medicare Physician Fee Schedule Database) indicators are different for codes CPT 45378 and CPT 45330.