Results 1 to 2 of 2

Incomplete Colonoscopy- instructed that

  1. #1
    Greenville, SC
    Default Incomplete Colonoscopy- instructed that
    Medical Coding Books
    I have always been instructed that if the endosocpe does not pass the splenic flexure, that you would not code for a colonoscopy, but for the sigmoidoscopy that was actually completed. The definition (and illustration) of 45378 and the description in the CDR confirms this.

    But now I am seeing different information stating that you still code for the colonoscopy, but use the 52 or 53 modifier for reduced or discontinued services.

    Which is correct? Can anyone point me to specific CMS guidelines?

  2. #2
    Smile Cms guidelines regarding incomplete colonoscopy
    Bill for the intended procedure. PAGES 108=109.

    I also found this link from the coding institute:

    Hope this helps!

    Last edited by mhcpc; 08-17-2009 at 01:48 PM. Reason: additional information

Similar Threads

  1. incomplete colonoscopy
    By rchojnowski in forum Gastroenterology
    Replies: 1
    Last Post: 05-29-2015, 12:00 PM
  2. Incomplete Colonoscopy-In the CPT
    By VFarrell in forum Gastroenterology
    Replies: 2
    Last Post: 12-10-2010, 09:42 AM
  3. incomplete colonoscopy - having a dilemma
    By mitera03 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 08-25-2010, 11:07 AM
  4. Colonoscopy - Incomplete
    By coderguy1939 in forum General Surgery
    Replies: 10
    Last Post: 04-30-2009, 01:18 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.