Wiki Colonoscopy coding

[sdonn44333@aol.com]

I need help coding colonoscopy via ostomy with polypectomy and colonoscopy via rectum at same sitting

 

[nsteinhauser]

Depends on what instrumentation was used for the polypectomy through the stoma - 44389 for cold biopsy forceps, 44392 for hot biopsy forceps, 44394 for snare....etc. Then you would also code a 45330 (flexible) or 45300 (rigid) for the rectal portion. The 'proctoscopy' portion may need a -52 because advancing to the rectal stump staple line (after a Hartmann procedure, for example) may not include any of the sigmoid and the definitions of the 45330 and 45303 both state that the scope is advanced into the sigmoid.
Hope this helps.