ASC Coding Guidance: Colonoscopy

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When a surgeon dictates that a polyp was biopsied and cauterized at the same time, use CPT 45384 (colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy or bipolar cautery).

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However, if polyps and/or tumors are removed in different sections of the colon using different techniques during one operative procedure, more than one CPT code may be used.

For example, CPT 45384 in the ascending and CPT 45385 in the descending.

 

Learn more about Serbin Surgery Center Billing.

 

The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.

 

Read more practical guidance from Caryl Serbin:

 

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