CPT 45385 may be used if a provider uses a colonoscope to examine the colon and rectum and removes tumors, polyps, or other lesions using a wire loop snare during a colonoscopy procedure.
What Is CPT Code 99070?
CPT code 45385 is a medical billing code used to describe a colonoscopy procedure involving removing tumors, polyps, or other lesions from the colon using a snare technique.
A colonoscopy is a diagnostic procedure that allows a healthcare provider to examine the inside of the colon and rectum using a flexible, lighted tube called a colonoscope.
The patient is typically prepped and anesthetized during the procedure to reduce discomfort.
The provider then inserts the colonoscope through the anus and advances it beyond the splenic flexure, a bend in the colon located at the junction of the transverse and descending segments.
The provider uses the colonoscope to inspect the colon and rectum’s lumen, or inner lining, for any abnormal tissue, such as tumors or polyps.
If the provider identifies a lesion during the examination, he or she may use a wire loop to cut through and remove it. This is known as a snare technique. Once the procedure is complete, the provider withdraws the colonoscope.
CPT code 45385 is used for billing for this procedure and is typically reported in addition to other codes that describe the services rendered.
The CPT book describes CPT code 45385 as: “Colonoscopy, flexible; with the removal of tumor(s), polyp(s), or other lesion(s) by snare technique.”
How To Use CPT 45385
It is important to note that CPT code 45385 should not be reported in conjunction with CPT code 45390 for the same lesion.
Additionally, CPT code 45385 should not be reported in conjunction with CPT code 45378. Instead, CPT code 45390 should be used for endoscopic mucosal resection procedures.
It is crucial to carefully review the guidelines for appropriate coding and documentation to ensure accurate billing and reimbursement for medical procedures.