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Gastroenterology Coding Alert

You Be the Coder:

Colonoscopy Won't Work for Hemorrhoids, Acute Diarrhea

Question: What are the limitations of colonoscopy (44388-44397; 45355- 45392)? Delaware Subscriber Answer: Be wary if your gastroenterologist performed colonoscopy for the following conditions because you won’t normally be paid for the procedure. These conditions are: Chronic, stable, irritable bowel syndrome or chronic abdominal pain. There are unusual exceptions in which the colonoscopy may be done once to rule out organic disease, [...]