Colonoscopies

Technically this is considered a complete colonoscopy because he reached the hepatic flexure


you may code for each technique, you will need to append the 59 modifier to each site that is done differently.

example:
45385
45384-59
45380-59


You can code for each different technique as long as they were used on separate polyps. In other words, if he tried the snare and ended up using ablation on one polyp, you can only use the successful technique.


Doctor inserted scope and almost immediately encountered solid stool. The procedure was terminated V64.3

colonoscopy versus a flex sigmoidoscopy in the hospital setting. If the scope is inserted to the transverse colon is this a flex sig or a colonoscopy?

If the scope "turns the corner," and goes past the splenic flexure, it's a colonoscopy.