Coding an Incomplete Colonoscopy

Coding an Incomplete Colonoscopy

March 1, 2018

How do I report a diagnostic colonoscopy, if the prep is incomplete and the scope is able to be advanced past the splenic flexure, but does not get all the way to the cecum?

Per CPT, if it is a diagnostic or screening colonoscopy, report, the diagnostic colonoscopy code (45378) with a 53 modifier.

*This response is based on the best information available as of 03/01/18.


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