icd-10 code for sigmoidoscopy with sigmoid polypectomy

by Miss Kenna Ritchie 10 min read

Full Answer

What is the CPT code for sigmoidoscopy?

CPT Codes for Sigmoidoscopy (45330-45350) CPT Code Code Descriptor 45330 Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) 45331Sigmoidoscopy, flexible; with biopsy, single or multiple 45332Sigmoidoscopy, flexible; with removal of foreign body(s)

What is the ICD 10 code for sigmoid colon removal?

2021 ICD-10-PCS Procedure Code 0DBN4ZX Excision of Sigmoid Colon, Percutaneous Endoscopic Approach, Diagnostic 2016 2017 2018 2019 2020 2021 Billable/Specific Code ICD-10-PCS 0DBN4ZX is a specific/billable code that can be used to indicate a procedure.

What is a flexible sigmoidoscopy report?

Report flexible sigmoidoscopy for endoscopic examination of a patient who has undergone resection of the colon proximal to the sigmoid (e.g., subtotal colectomy) and has an ileo-sigmoid or ileo-rectal anastomosis. New codes for the flexible sigmoidoscopy family include endoscopic mucosal resection and band ligation.

What is the ICD 10 code for family history of colon polyps?

Example: A 53-year-old-male presents for colonoscopy. There is a family history of colon polyps. The physician documents polyps of the colon, found during the examination. Proper ICD-10 coding requires two codes, in this case: K63.5 and Z83.71 Family history of colonic polyps.

What is the appropriate ICD-10-PCS code for sigmoidoscopy with sigmoid polypectomy?

Excision of Sigmoid Colon, Percutaneous Endoscopic Approach, Diagnostic. ICD-10-PCS 0DBN4ZX is a specific/billable code that can be used to indicate a procedure.

What is the ICD-10-CM code for sigmoid polyp?

Benign neoplasm of sigmoid colon D12. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM D12. 5 became effective on October 1, 2021.

What is the ICD-10 code for sigmoidoscopy?

Please note: For the purposes of this Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy A56632 article, ICD-10 code K92. 2 also represents portal hypertensive colopathy.

How do you code a sigmoidoscopy?

CPT Code. Code Descriptor.45330. Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when.45331. Sigmoidoscopy, flexible; with biopsy, single or multiple.45332. Sigmoidoscopy, flexible; with removal of foreign body(s)45333. ... 45334. ... 45335. ... 45337.More items...

What is the ICD-10 code for polypectomy?

ICD-10 code K63. 5 for Polyp of colon is a medical classification as listed by WHO under the range - Diseases of the digestive system .

What is a sigmoid colon polyp?

A colon polyp is a small clump of cells that forms on the lining of the colon. Most colon polyps are harmless. But over time, some colon polyps can develop into colon cancer, which may be fatal when found in its later stages. Anyone can develop colon polyps.

What is the difference between a sigmoidoscopy and a colonoscopy?

The difference between the two tests is the part of the colon they allow the doctor to see. A sigmoidoscopy is less invasive, because it only looks at the lower part of your colon. A colonoscopy looks at the entire large intestine.

What is the difference between a colonoscopy and a flexible sigmoidoscopy?

A colonoscopy takes a thorough look at the whole of the large bowel, up to the end of the small bowel; while a flexible sigmoidoscopy is a short test which only examines the rectum and sigmoid colon. These common tests are used to examine the health of your digestive system.

What is a Z12 11?

Z12. 11 encounter for screening for malignant neoplasm of colon.

What is the CPT code for polypectomy?

CPT 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique. The snare technique is usually used to perform a polypectomy during a colonoscopy.

Can 45385 and 45390 be billed together?

Also, CPT Manual instruction states, "Do not report 45390 in conjunction with 45385 for the same lesion." But, CPT 45390 has an RVU lower than that of 45385.

What is a flexible sigmoidoscopy?

Flexible sigmoidoscopy is a procedure in which a trained medical professional uses a flexible, narrow tube with a light and tiny camera on one end, called a sigmoidoscope or scope, to look inside your rectum and lower colon, also called the sigmoid colon and descending colon.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act §1833 (e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim

Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy L34454.

ICD-10-CM Codes that Support Medical Necessity

The correct use of an ICD-10 code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy L34454 LCD.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article only applies to diagnostic colonoscopies and sigmoidoscopies. Sigmoidoscopy and colonoscopy testing allows for the direct visualization of the lower gastrointestinal tract. Inspection is performed with an illuminated tube. These procedures are performed to detect polyps, tumors and other lesions of the intestines.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is the code for colonoscopy?

If therapeutic colonoscopy (44389-44407, 45379, 45380, 45381, 45382-45398) is performed and does not reach the cecum or colon-small intestine anastomosis, report the appropriate therapeutic colonoscopy code with modifier 52

What modifier is used for proximal to the splenic flexure?

The terminology “proximal to the splenic flexure” is no longer used; therefore, if the scope does not reach the cecum, modifier 52 should be appended to the claim. This applies to therapeutic procedures only (i.e., any colonoscopy codes in the family that are not the parent or diagnostic code).

Can gastroenterologists perform a rigid scope exam?

Gastroenterologists rarely perform rigid scope exam of proctosigmoidoscopy and anoscopy. With few exceptions, gastroenterologists only report diagnostic proctosigmoidoscopy and anoscopy. For this reason, discussions regarding proctosigmoidoscopy and anoscopy in this chapter will be limited to single diagnostic codes (45300, 46600) (Table 9-6). The modalities of therapy that apply to the sigmoidoscopy codes will be discussed within the section of colonoscopy codes 45378 et seq., because the nuances about coding colonoscopy procedures apply to the flexible sigmoidoscopy family of codes as well.