Advanced Search

CPT® 45378, Under Endoscopy Procedures on the Rectum

The Current Procedural Terminology (CPT®) code 45378 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Rectum.

Subscribe to Codify by AAPC and get the code details in a flash.

Request a Demo 14 Day Free Trial Buy Now

Additional/Related Information

Tabs
Summary

The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush passed through the scope or irrigates the area with warm saline and aspirates the washings through the scope. He sends the specimens to the laboratory for diagnostic analysis.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs
Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.
View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.
Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.
View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 45378 ? Start a discussion here
Complete colonscopy with hx of hemicolectomy
Hello everyone - This is the first time I ran into a report where patient is having a colonoscopy and found no polyps or anything. But patient is missing part of their colon due to a past hx of a he... [ Read More ]
Screening colonoscopy - Hemorrhoids
The coding would depend on what was documented in the operative report, but your first scenario is most likely the correct one. If the procedure was only a screening and the hemorrhoids and divertic... [ Read More ]
Screening colonoscopy - Hemorrhoids
would like some input on a discussion regarding for MEDICARE when doing a screening colonoscopy. Pt is a 70 yrs old having a screening colonscopy with no hx of any. Not high risk. If intention is to ... [ Read More ]
Colonoscopy screening to diagnostic
They didn't treat the anal fissure, but it was a finding. Patient did not have any diagnosis before the screening. I coded the 45378 with a 33 modifier to indicate a finding. Is that incorrect? Does... [ Read More ]
Colonoscopy screening to diagnostic
If a screening (45378) is performed with a finding, it's still a screening. If the screening results in a procedure performed (45380, 43585, 45355, etc), it's considered diagnostic. If no procedure w... [ Read More ]
Colonoscopy screening to diagnostic
[QUOTE="scrawford1690@gmail.com, post: 511587, member: 424140"] Hi everyone, I coded a screening colonoscopy to be diagnostic due to a finding of an anal fissure. I thought if anything is find during... [ Read More ]
Colonoscopy screening to diagnostic
Hi everyone, I coded a screening colonoscopy to be diagnostic due to a finding of an anal fissure. I thought if anything is find during a colonoscopy screening to code the diagnostic code 45378 (if ... [ Read More ]
Colonoscopy on patient in OR for colon resection
Hello, Thank you for providing this information. Like i stated above this could be tricky because it looks like the providers information for the colonoscopy was "within" the note of the other provi... [ Read More ]
Short recall colonoscopy coding
How do you guys code if a Medicare patient is told to come back in 1 year as the doctor wants to recheck a specific area for regrowth? When I was trained in, I was told to only code that specific poly... [ Read More ]
Colonoscopy questions typically not answered in webinars
Hello, 1) only use screening code if documented don't assume. if not on OP but as dx for HP that is ok. hx codes can never be primary dx. As such Z12.11 will always be primary with the hx codes. You ... [ Read More ]
View All

Coding Alert(s)

    Read a CPT® Assistant article by subscribing to Code Connect Today!
    Search across Medicare Manuals, Transmittals, and more. For FREE Trial, register now!

    Latest News

    Scope Out the Rules for Billing Multiple Endoscopies
    Understand the Multiple Procedure Payment Reduction rule to help ensure accurate reimbursement. If youve ever billed for multiple endoscopies performed on the same date of service to the same patient ... [ Read More ]
    Code Colonoscopies With Precision
    Accurate billing of these procedures requires attention to detail. Colonoscopy is a medical procedure in which the physician inserts a long flexible tubular instrument called a colonoscope into the pa... [ Read More ]
    Harness the Power of Crosswalks
    These underutilized tools enable coders to work smarter not harder. As medical coders we are always looking for tips and tricks anything to make our job functions more efficient. One of the most exha... [ Read More ]
    Screen Your Colorectal Cancer Coding
    Know the facts about colorectal cancer to correctly code preventive and diagnostic services.The post Screen Your Colorectal Cancer Coding appeared first on AAPC Knowledge Center.... [ Read More ]
    Help Clinicians Factor Cost into the MIPS Equation
    Medical coders and auditors are essential to their employers outcome in the Cost performance category. Of the four performance categories in the Meritbased Incentive Payment System MIPS one of two tr... [ Read More ]
    View All News