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Are These Colonoscopy Codes Bundled?

Posted on 13. Jan, 2009 by in Coding Challenge, Hot Coding Topics

Challenge: Can you report codes 45380 and 44388 together?

Answer: Yes, if your physician had to perform two procedures to view the entire colon — say, due to an obstruction — you can code both 45380 (Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple) and 44388 (Colonoscopy through stoma; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]).

The Correct Coding Initiative doesn’t bundle these codes, and the “separate procedure” reference in 44388 refers to other codes with the same parent — in other words, other colonoscopies performed through a stoma.

Pick the brains of a panel of internal medicine coding and billing experts in Las Vegas.

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