Colonoscopy CPT code list and covered ICD 10 code (Colorectal cancer screening)

Code Description

G0104 Colorectal cancer screening; flexible sigmoidoscopy
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
G0106 Colorectal cancer screening; alternative to G0104, screening sigmoidoscopy, barium enema
G0120 Colorectal cancer screening; alternative to G0105, screening colonoscopy, barium enema
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high
G0122 Colorectal cancer screening; barium enema
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 direct 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
45340 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
45341 Sigmoidoscopy, flexible; with dilation by balloon, 1 or more strictures
45342 Sigmoidoscopy, flexible; with endoscopic ultrasound examination
45346 Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)
45347 Sigmoidoscopy, flexible; with transendoscopic stent placement (includes predilation)
45349 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)
45350 Colonoscopy, flexible, proximal to splenic flexure; with removal of foreign body
45378 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
45379 Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substance
45380 Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
45381 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
45382 Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
45384 Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
45385 Colonoscopy, flexible, proximal to splenic flexure; with dilation by balloon, 1 or more strictures
45386 Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic stent placement (includes predilation)
45388 Colonoscopy, flexible, proximal to splenic flexure; with endoscopic ultrasound examination
45389 Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)

Diagnosis Codes: ICD-10 [Effective 10/1/15]

Code Description
D12.0 Benign neoplasm of cecum
D12.1 Benign neoplasm of appendix
D12.2 Benign neoplasm of ascending colon
D12.3 Benign neoplasm of transverse colon
D12.4 Benign neoplasm of descending colon
D12.5 Benign neoplasm of sigmoid colon
D12.6 Benign neoplasm of colon, unspecified
D12.7 Benign neoplasm of rectosigmoid junction
D12.8 Benign neoplasm of rectum
D12.9 Benign neoplasm of anus and anal canal
D13.2 Benign neoplasm of duodenum
D13.30 Benign neoplasm of unspecified part of small intestine
D13.39 Benign neoplasm of other parts of small intestine
D13.9 Benign neoplasm of ill-defined sites within the digestive system
D20.0 Benign neoplasm of soft tissue of retroperitoneum
D20.1 Benign neoplasm of soft tissue of peritoneum
D37.2 Neoplasm of uncertain behavior of small intestine
D37.4 Neoplasm of uncertain behavior of colon
D37.5 Neoplasm of uncertain behavior of rectum
D37.6 Neoplasm of uncertain behavior of liver, GB & bile duct
D37.8 Neoplasm of uncertain behavior of oth digestive organs
D37.9 Neoplasm of uncertain behavior of digestive organ, unsp
D48.3 Neoplasm of uncertain behavior of retroperitoneum
D48.4 Neoplasm of uncertain behavior of peritoneum
K50.00 Crohn's disease of small intestine without complications
K50.10 Crohn's disease of large intestine without complications
K50.80 Crohn's disease of both small and lg int w/o complications
K50.90 Crohn's disease, unspecified, without complications
K51.30 Ulcerative (chronic) rectosigmoiditis without complications
K51.40 Inflammatory polyps of colon without complications
K51.80 Other ulcerative colitis without complications
K51.90 Ulcerative colitis, unspecified, without complications
K52.0 Gastroenteritis and colitis due to radiation
K52.1 Toxic gastroenteritis and colitis
K52.2 Allergic and dietetic gastroenteritis and colitis
K52.81 Eosinophilic gastritis or gastroenteritis
K52.82 Eosinophilic colitis
K52.89 Other specified noninfective gastroenteritis and colitis
K52.9 Noninfective gastroenteritis and colitis, unspecified
K63.0 Abscess of intestine
K63.1 Perforation of intestine (nontraumatic)
K63.2 Fistula of intestine
K63.3 Ulcer of intestine
K63.4 Enteroptosis
K63.5 Polyp of colon
K63.81 Dieulafoy lesion of intestine
K63.89 Other specified diseases of intestine
K63.9 Disease of intestine, unspecified
Z12.10 Encounter for screening for malignant neoplasm of intestinal tract, unspecified
Z12.11 Encounter for screening for malignant neoplasm of colon
Z12.12 Encounter for screening for malignant neoplasm of rectum
Z12.13 Encounter for screening for malignant neoplasm of small intesting
Z80.0 Family history of malignant neoplasm of digestive organs
Z83.71 Family history of colonic polyps
Z85.00 Personal history of malignant neoplasm of unspecified digestive organ
Z85.030 Personal history of malignant carcinoid tumor of large intestine
Z85.038 Personal history of malignant neoplasm of large intestine
Z85.040 Personal history of malignant carcinoid tumor of rectum
Z85.048 Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus.
Z85.060 Personal history of malignant carcinoid tumor of small intestine
Z85.068 Personal history of malignant neoplasm of small intestine
Z85.09 Personal history of malignant neoplasm of digestive organs
Z86.010 Personal history of colonic polyps

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