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Colonoscopy with digital anal dilation

  1. #1
    Default Colonoscopy with digital anal dilation
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    Colonoscopy with biopsy & polpectomy by hot bx forceps (45380 & 45384)
    But doctor also indicates she performed digitial (3 fingers) anal dilation for anal stricture.

    Can anyone help with code for digital anal dilation???


  2. #2
    The GI endoscopic dilation codes described by CPT include the use of a device, e.g. balloon, guide wire, bougie. You might consider using an unlisted code, rectum (45999), but I would be surprised to find any payers reimbursing.
    Jenny Berkshire, CPC, CEMC, CGIC

  3. #3
    That is what I decided to file with and I agree on the unlikely reimbursement.
    Thank you so much for your reply.

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