45378

  1. B

    Wiki Medicare Plan Denying Screening Colonoscopy

    Hello, I am stumped on some denials we've been getting recently when billing CPT 45378 for a screening colonoscopy. The claim I'm working right was billed with dx Z12.11 and CPT 45378 to a United Healthcare Medicare plan. We got that CPT with that dx authorized. They are denying for "medical...
  2. E

    Wiki Colonoscopy global period

    Gastroenterologist does colonoscopy with polyp removed by snare (45385, Z12.11 & K63.5); eight (8) days later patient has GI bleeding and same doctor does diagnostic colonoscopy (45378). Is the second procedure billable or included in global period of the original colonoscopy? Thanks!
  3. C

    Wiki 99386 with a colonoscopy

    Hello All, My GI doctors want to bill a 99386, with a colonoscopy. While I know for the most part only PCPs can use this code for preventive visits I can not find any information I can print out to give to the doctors to verify this. At least nothing current. Can anyone point me to a...
  4. Lisa Griffin

    Wiki colonoscopy screening vs colonoscopy diagnostic

    Hi, Question, we seem to be having some confusion when it comes to ordering colonoscopies. For simple, asymptomatic patients who just need a screening we are using Z12.11 plus 45378. It seems that this confuses some of our patients when they see that 45378 is colonoscopy, diagnostic. If we are...
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