Results 1 to 2 of 2

Exam under anesthesia w/removal of colon ring, sigmoidoscopy

  1. #1
    Northeast Kansas AAPC
    Default Exam under anesthesia w/removal of colon ring, sigmoidoscopy
    Exam Training Packages
    I am thinking this is just a sigmoidoscopy 45330 and EUA w/removal of foreign body 46608.
    Anal area was prepped and draped. Approximately 8 cm up you could feel the colon ring. There was stricturing below it. I was able to dilate this up, place a tenaculum on this colon ring and remove it. After removing it we did a sigmoidoscopy. Posteriorly you could tell the area had sort of eroded through probably where the ring was resting and mucosa raw. Did a sigmoidoscopy and was able to go up through the anastomosis. It is tightly strictured and I dilated that up and I could get a little over a finger and a half through this anastomosis. --- Didn't think I could use 45340 as no mention of balloon was described.


  2. Default
    What about 45915, just removal of foreign body since anoscope not mentioned? Now 45915 and 45330 are a NCCI edit so you cannot bill both. I would bill 45915 since it has a higher facility RVU(5.49) versus 45330 with fac RVU 1.67. Also, sigmoidoscope used more to evaluate the site than diagnose. Just a thought.

    Anna Barnes, CPC, CGSCS

Similar Threads

  1. Colon vs Flex Sigmoidoscopy Poor Bowel Prep
    By RSnodgrass in forum Gastroenterology
    Replies: 5
    Last Post: 06-12-2014, 02:56 PM
  2. Anesthesia code for flexible Sigmoidoscopy
    By jijikaren in forum Anesthesia
    Replies: 2
    Last Post: 09-13-2011, 10:45 AM
  3. removal of ring
    By ggparker14 in forum Emergency Department
    Replies: 2
    Last Post: 08-11-2011, 01:51 PM
  4. Ring Removal
    By Lisa Bledsoe in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-26-2007, 03:58 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.