AAPC - Back to school
Results 1 to 4 of 4

Thread: HELP ! How to code a colonoscopy when there is no colon?

  1. #1

    Question HELP ! How to code a colonoscopy when there is no colon?

    AAPC: Back to School

    Doctor performed a "colonoscopy" on patient status-post ileal-pouch anal anastamosis. Only the anal canal, ileal pouch, and a small portion of the ileum were viewed. No biopsies were taken.

    The doctor wants to code a flex-sig, but I don't think that this applies since there is no sigmoid colon, or any other for that matter. Would a 44385, endoscopic evaluation of small intestinal pouch; work with this procedure?

    Any thoughts?

  2. #2


    I would go with 44385 based on the info you gave

  3. #3


    Here is the description for 44385: The physician examines a pouch in the small intestine by inserting an endoscope into the abdominal cavity.

    If your provider is going through the anus this code is not going to work. We usually use one of the 453XX codes, depending on the situation and how much is being evaluated, and add a modifier 52 for reduced services since the entire colon/intestine is missing. Also use V45.3 as one of your Dx's

  4. #4
    Join Date
    Apr 2007

    Default colonscopy when there is no colon

    44385 is correct. The endoscope may be advanced through the anus or existing stoma to examine the intestinal pouch.

    Michele R. Hayes, CPC, CPMA, CEMC, CGIC

Similar Threads

  1. Colonoscopy when patient has no colon
    By 00029754 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-13-2014, 03:04 PM
  2. colonoscopy descending colon
    By nyyankees in forum ICD-10
    Replies: 4
    Last Post: 05-09-2012, 07:49 PM
  3. colonoscopy after colon resection
    By bwerner in forum Gastroenterology
    Replies: 2
    Last Post: 11-26-2010, 09:44 PM
  4. Colonoscopy with family history of colon cancer
    By j.berkshire in forum Gastroenterology
    Replies: 4
    Last Post: 12-16-2009, 07:39 AM
  5. Screening colonoscopy w/family HX colon CA
    By coderguy1939 in forum Gastroenterology
    Replies: 4
    Last Post: 02-06-2009, 09:26 AM

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.