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CPT® 45990, Under Other Procedures on the Colon and Rectum

The Current Procedural Terminology (CPT®) code 45990 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Colon and Rectum.

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Summary

In this procedure, the provider performs a diagnostic anorectal examination, or an exam of the anus and rectum, with the patient under anesthesia. He may also perform a procedure as necessary to treat any condition he finds. 

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Laparoscopic colovaginal fistula takedown
PROCEDURES: 1. EXAMINATION UNDER ANESTHESIA, PROCTOSIGMOIDOSCOPY. [B] 45990[/B] 2. EXPLORATORY LAPAROTOMY, TAKEDOWN OF COLOVAGINAL FISTULA, SIGMOID RESECTION AND PRIMARY COLORECTAL ANASTOMOSIS. can so... [ Read More ]
Cauterization of rectal bleeding under anesthesia
~ and so, it's above the dentate line ......, 46614 is more appropriate versus the 45990. Just a reminder , I'm sure you already know, whenever there is a control of bleeding , your dx should be with... [ Read More ]
Cauterization of rectal bleeding under anesthesia
If a provider performs an anoscopy under anesthesia with cauterization of rectal bleeding, would that be billed with 45990 or 46614?... [ Read More ]
colorectal surgeons/CPT codes
[QUOTE="gared111, post: 9799, member: 18419"] All practices are different but at the ASC I worked for these are the codes we billed the majority of the time for the 2 colorectal surgeons... 45378-453... [ Read More ]
rectal exam under anesthesia with nasal speculum used
I need some advice to what code to use for the procedure below. I was thinking of 45990 but there is nothing stating diagnostic. Findings: Two separate superficial 1cm lacerations on either side of... [ Read More ]
Pelvic Examination in ASC Setting
I work in ASC facility and I wanted to know how you will bill a pelvic examination under general Anesthesia, rectal exam and breast exam.? The codes I am coming up with is 45990 which includes all thr... [ Read More ]
EUA with botox
When submitting a claim will these 2 codes need a modifier attached for commercial insurance? 45990 and 46505... [ Read More ]
EUA code
Diagnosis - Perirectal abscess and anal fistula Procedure performed - Examination under anesthesia with incision and drainage of abscess and a fistulotomy Would it be correct to code CPT 46060 and 4... [ Read More ]
cystoscopy with digitl rectal exam
One of my providers performed a surveillance cystoscopy and a digital rectal exam for hx bladder ca and hx prostate ca . He wants to bill for an EAU (45990) as well as the cystoscopy but I disagree, n... [ Read More ]
Hemorrhoidectomy
[QUOTE="aprillerowland, post: 399358, member: 362383"]My surgeon has a Exam under Anesthesia(45990) and Internal/External Hemorrhoidectomy(46260) listed on the op report. My question is, wouldn't the... [ Read More ]
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