Can you bill EGD and colonoscopy at the same time?
Patients who have unexplained anemia due to blood loss or other reasons often undergo two diagnostic endoscopic procedures: esophagogastroduodenoscopy (EGD) and colonoscopy. These two procedures can be safely performed together on the same day.
What is the difference between CPT code 45378 and 45380?
A family of CPT codes applies to colonoscopy. For example, code 45378 applies to a colonoscopy in which no polyp is detected, while codes 45380-45385 apply to colonoscopy that involves an intervention (e.g., 45385 is the code for colonoscopy with polypectomy.)
Can 45385 and 45382 be billed together?
Do not recognize the application of Modifier 59 for colonoscopy services (CPT code 45380, 45382, or 45386) when billed together with another colonoscopy service (CPT code 45380, 45382, 45383, 45384, 45385, 45386 or 45387) for the same date of service, same patient, by the same provider.
Is EGD and colonoscopy the same?
An endoscopy is a nonsurgical procedure used to examine a person’s digestive system using a thin and flexible tube with a camera at the end. An upper endoscopy examines the stomach, esophagus, and small intestines. A colonoscopy is performed through the rectum to examine the rectum, large intestine, and colon.
What is the CPT code for colonoscopy with clip placement?
There are no specific CPT® Codes for endoscopic tissue marking with a clip; the procedure defaults to an unlisted procedure code for the area in which the clip is being placed (e.g., unlisted procedure code for the intestine: 44799).
What CPT code is used for colonoscopy?
What’s the right code to use for screening colonoscopy? For commercial and Medicaid patients, use CPT code 45378 (Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression [separate procedure]).
What is the CPT code for EGD?
CPT® 43235, Under Esophagogastroduodenoscopy Procedures The Current Procedural Terminology (CPT®) code 43235 as maintained by American Medical Association, is a medical procedural code under the range – Esophagogastroduodenoscopy Procedures.
Can CPT 45380 and CPT 45385 be billed together?
Based on CPT Assistant article: “From a CPT coding perspective, if the same lesion is biopsied, and subsequently removed during the same operative session, then you should only report the code for the removal of the lesion.” Therefore, if 45380 is submitted with 45385–only 45385 reimburses.
What does CPT code 45385 mean?
45385. Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.
What is EGD colonoscopy?
EGD is an endoscopic procedure that allows your doctor to examine your esophagus, stomach and duodenum (part of your small intestine). EGD is an outpatient procedure, meaning you can go home that same day. It takes approximately 30 to 60 minutes to perform. Endoscope.