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Colonoscopy after partial colectomy--Medicare

Robyn Posted Fri 09th of January, 2015 12:38:17 PM

I was told for Medicare in 2015 that for patients who have undergone resection of the colon proximal to to sigmoid (eg, subtotal colectomy) and have an ileo-sigmoid or ileo-rectal anastomosis to report flexible sigmoidoscopy codes (45330-45347).
For a patient with a partial colectomy/ileo-hepatic anastomosis, would I report colonoscopy codes or flex sig codes?

SuperCoder Answered Fri 09th of January, 2015 16:04:10 PM

Thanks for your question. In this case, you should select a code from the colonoscopy series of codes as long as the provider was able to view the entire colon to the cecum. If the provider did not reach the splenic flexure, you should select a code from the flexible sigmoidoscopy series. You would need to rely on the procedural report that your provider documents in the patient's chart. Hope this helps.

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