Results 1 to 6 of 6

Aborted Procedure

  1. #1
    Post Aborted Procedure
    Exam Training Packages
    If a colonoscopy (45378) were planned, but discontinued for another day due to poor prep and the scope only reached the sigmoid colon, would the facility code 45378-74 or 45330-74? I'm unsure because the guidelines state to code as far as the scope reached, yet many articles show the code being 45378-74 for a discontinued colonoscopy yet they don't state just how far the scope went. Thanks in advance!


  2. #2
    Columbia, MO
    If you get to the sigmoid but not beyound the splenic flexure then some facilites code it as the sigmoidoscopy with no modifier. However I always look to see if there is any result documented, and finding at all such all normal but could not continue, or does the documentation state that there was overall poorvisualization so the decision to abort was made. In that case code the colonoscopy with the 74 modifier.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    If the intent was for a colonoscopy, then I would code the 45378-74.

  4. #4
    Yes, it was poor visualization due to poor prep. How does one determine if a sigmoidoscopy should be coded versus colonoscopy, when a discontinuation is made?

  5. #5
    Columbia, MO
    The standard here is if you get thru the sigmoid but not beyond splic flexure then it is by definition a sigmoidoscopy, but there needs to be something regarding finding or lack thereof to be a procedure otherwise call it discontinued.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    Thanks Debra! In this case, the surgeon documented "The perianal and digital rectal exams were normal. Normal sphincter tone. Normal mucosa was found at 30cm. proximal to the anus." I'd code 45330 without modifier 74?

Similar Threads

  1. aborted procedure ?
    By lbarbar in forum OB/GYN
    Replies: 4
    Last Post: 10-07-2015, 09:00 AM
  2. Aborted/discontinued procedure
    By daboronda in forum Anesthesia
    Replies: 4
    Last Post: 09-19-2012, 12:07 AM
  3. Aborted procedure - The patient was scheduled for a mital valve
    By dvance4210 in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 07-30-2012, 03:30 PM
  4. Aborted procedure - I code outpatient visits
    By jccoder in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 12-21-2011, 10:32 AM
  5. aborted procedure-spine arthrodesis
    By sac@bones in forum Orthopaedics
    Replies: 0
    Last Post: 02-16-2011, 05:00 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.