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Thread: Intraoperative colonoscopy

  1. #1
    Join Date
    Apr 2007
    melbourne, FL

    Default Intraoperative colonoscopy

    AAPC: Back to School
    is there a code for an intraoperative colonoscopy?

  2. #2


    What was the reason for the colonoscopy and was this done at the time of another surgery?

  3. #3


    There is no "intraoperative" code for a colonoscopy, only the regular colonoscopy codes (45378-45392). If the sole purpose of the colonoscopy was to evaluate the surgical field or identify landmarks, it is inclusive and not sepeartely billable. If it is for diagnostic purposes, then you can bill it with 58. You have to prove medical necessity for diagnostic.

    Refer to the NCCI Policy Manual for Medicare Services found at cms website http://www.cms.hhs.gov/NationalCorrectCodInitEd/. I believe it is Chapter1final-gencoding page I-10 number 12. These are VERY helpful guidleines.

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