Colon Cancer Screening - Provider Billing Guidelines and Documentation
Fecal Occult Blood Test Service Codes
Code Description
82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)
82272 Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening
G0328 COLORECTAL CANCER SCREENING; FECAL OCCULT BLOOD TEST, IMMUNOASSAY, 1-3 SIMULTANEOUS DETERMINATIONS
Barium Enema Service Codes
Code Description
74270 Radiologic examination, colon; contrast (eg, barium) enema, with or without KUB
74280 Radiologic examination, colon; air contrast with specific high density barium, with or without glucagon
G0122 COLORECTAL CANCER SCREENING; BARIUM ENEMA
Sigmoidoscopy Service Codes
Code Description
45330 Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
45331 Sigmoidoscopy, flexible; with biopsy, single or multiple
45332 Sigmoidoscopy, flexible; with removal of foreign body
45333 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
45334 Sigmoidoscopy, flexible; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance
45337 Sigmoidoscopy, flexible; with decompression of volvulus, any method
45338 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45339 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
45340 Sigmoidoscopy, flexible; with dilation by balloon, 1 or more strictures
G0104 COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY
G0106 COLORECTAL CANCER SCREENING; ALTERNATIVE TO G0104, SCREENING SIGMOIDOSCOPY, BARIUM ENEMA.
Colonoscopy Service Codes
Code Description
44388 Colonoscopy through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
44389 Colonoscopy through stoma; with biopsy, single or multiple
44390 Colonoscopy through stoma; with removal of foreign body
44391 Colonoscopy through stoma; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
44392 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps and bipolar cautery
44393 Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
44394 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45355 Colonoscopy, rigid or flexible, transabdominal via colostomy, single or multiple
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)
45379 Colonoscopy, flexible, proximal to splenic flexure; with removal of foreign body
45380 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
45381 Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substance
45382 Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
45383 Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique.
45384 Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
45385 Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45387 Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic stent placement (includes predilation)
G0105 Colorectal Cancer Screening; Colonoscopy on individual at high risk
G0120 Colorectal Cancer Screening; alternative to G0105, screening colonoscopy, barium enema
G0121 Colorectal Cancer Screening; Colonoscopy on individual not meeting criteria for high risk.
Learn about Colonoscopy and Endoscopy billing procedure methodologies. GI gastrointestinal endoscopy and colonoscopy preparation, complication and what happened after the process. How to do the correct billing. EGD, GI and Screening CPT codes.
Saturday, June 19, 2010
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