45.24
How is the procedure of flexible sigmoidoscopy is performed?
Your doctor will:
- Insert the lubricated sigmoidoscope through the rectum and into the anus and large intestine.
- Introduce some air into your colon to improve visibility; you may experience some cramping or pressure when this happens.
- Examine the images on a nearby monitor.
What does flexible sigmoidoscopy mean?
Flexible sigmoidoscopy is a test to look inside the lower part of your large bowel. It is also called bowel scope or flexi sig. The flexible sigmoidoscopy is a thin flexible tube called a colonoscope. This has a small light and camera at one end.
What is a flex SIG procedure?
What Will Happen When I Arrive for My Flex Sig?
- A brief medical history will be reviewed with you by a nurse.
- You will provide a list of any current medications you are taking along with any allergies you have to medications.
- You will be asked to remove your clothing and change into a patient gown.
- The flexible sigmoidoscopy procedure is most often performed without sedation. ...
What is flex sigmoid?
Flexible sigmoidoscopy is a procedure used to see inside the sigmoid colon and rectum. It is used to look for cancer, changes in bowel habits, abdominal pain or bleeding, inflamed tissue, abnormal growths and ulcers. What is the sigmoid colon? The sigmoid colon is the last one-third of the colon.
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.
General Information
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Article Guidance
This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy for L34005-Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy. General Guidelines for Claims submitted to Part A or Part B MAC: Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits.
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.
Is 45330 a moderate sedation code?
Codes 45330 and 45331. did not inherently include moderate sedation, unlike the other codes in the flexible sigmoidoscopy family. As of 2017, when it is medically necessary to utilize moderate (conscious) sedation to perform the work of code 45330, the appropriate code may be reported separately, which is usually 99152,
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