Kevin Posted Mon 17th of November, 2014 12:34:17 PM
During a patient's routine screening colonoscopy, there were approximately a dozen white thin parasites seen. Fluid aspiration was performed through the scope suction channel and samples were sent to lab. I am a bit confused as to how this should be coded. Would it be 45378, or would I code a 45380 since there were samples taken and sent to the lab? Thank you.
SuperCoder Answered Mon 17th of November, 2014 12:59:30 PM
Thanks for your question. 45378; Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure) would be the appropriate choice. In this procedure, the provider examines the inner part of the colon and rectum using a colonoscope, a flexible tube with a camera at its one end. He then may also perform a brushing or washing of the colon to collect specimens. He may also perform a colon decompression during this procedure. 45380 would not e the appropriate code based on the information that you provided because an actual biopsy was not performed. Hope this helps.