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colonscopy thru stoma and flex. proctoscopy

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08-18-2009, 10:00 AM

Mklaubauf

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colonscopy thru stoma and flex. proctoscopy

Hi,
My physician did a colonscopy thru the stoma and removed a polyp. Code 44394. He also check out the rectal stump by inserting the colonscope but only examined to the rectal stump to 20 cm. I'm looking at procedure 45330 which I would have to reduce as he did not get that far. My thinking on this code is the colonscope is flexible so procedure code 45300 would not be correct.

The other part of this question is can I even charge for viewing the rectal stump. The grouper that I have to put both codes in states it okay to bill them together, however, proc. 45330 does state separate procedure so I'm not sure if it is correct to bill this coed at all.

Thank you for your help,
Marci Klaubauf, CPC

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