Assign Endoscopy Codes - Certified Professional Coder CPC

1. What is the correct CPT code for flexible sigmoidoscopy with removal of polyp(s) by snare technique?

   CPT $45338$. This code denotes flexible sigmoidoscopy with polyp removal via snare technique.

2. What is the correct CPT code for diagnostic EGD (esophagus, stomach, duodenum), with or without specimen?

   CPT $43235$. This code describes a standard diagnostic upper endoscopy without additional interventions beyond specimen collection.

3. Which CPT code range is used for colonoscopy procedures?

   CPT $45378$-$45398$. CPT groups colonoscopy codes in this range for examinations extending from the rectum to the cecum or colon-small intestine anastomosis.

4. Which modifier indicates a discontinued colonoscopy after insertion of the colonoscope beyond the splenic flexure?

   Modifier $-53$ on colonoscopy code (when appropriate per payer). This modifier signals procedure termination after significant advancement, subject to payer policies.

5. Identify the correct approach: When a biopsy is done during an endoscopy, which code type is reported?

   Report the endoscopy code that includes biopsy. CPT guidelines bundle biopsy into the base endoscopy code when performed during the same session.

6. Which CPT code range is used for esophagogastroduodenoscopy (EGD) procedures?

   CPT $43235$-$43259$. CPT designates this range for procedures involving endoscopic visualization of the esophagus, stomach, and duodenum or proximal jejunum.

7. Identify the correct rule: How is a diagnostic endoscopy coded when a therapeutic service is also performed?

   Code only the therapeutic endoscopy (diagnostic is included). CPT rules state that therapeutic procedures include the diagnostic component, preventing separate reporting.

8. Which CPT code range is used for anoscopy procedures?

   CPT $46600$-$46615$. CPT reserves this range for anoscopy procedures, which involve direct visualization of the anal canal.

9. What is the correct CPT code for diagnostic colonoscopy, with or without specimen collection?

   CPT $45378$. This code is used for routine colonoscopy examinations without therapeutic actions beyond specimen collection.

10. What is the correct CPT code for flexible sigmoidoscopy with biopsy, single or multiple?

    CPT $45331$. This code is appropriate for flexible sigmoidoscopy involving biopsy at single or multiple sites.

11. Which CPT code range is used for endoscopic ultrasound (EUS) of the upper GI tract?

    CPT $43231$-$43259$ (EUS codes within upper endoscopy section). CPT integrates EUS codes within the upper endoscopy section for ultrasound-guided examinations and interventions in the upper GI tract.

12. Which CPT code range is used for ERCP (endoscopic retrograde cholangiopancreatography)?

    CPT $43260$-$43278$. CPT categorizes ERCP procedures in this range for diagnostic and therapeutic interventions in the biliary and pancreatic ducts.

13. Which CPT code range is used for esophagoscopy procedures?

    CPT $43200$-$43232$. CPT assigns this range to esophagoscopy procedures for examining the esophagus with possible interventions.

14. Identify the correct coding rule: When a colonoscopy is attempted but converted to a sigmoidoscopy, what is reported?

    Report the sigmoidoscopy code with modifier $-52$ (payer dependent). CPT and payer guidelines direct reporting the achieved procedure with a reduced services modifier when full intent is not met.

15. What is the correct CPT code for colonoscopy with removal of tumor(s), polyp(s), or lesion(s) by snare technique?

    CPT $45385$. This code specifies removal of lesions using the snare method during colonoscopy.

16. Which CPT code range is used for proctosigmoidoscopy procedures?

    CPT $45300$-$45327$. CPT uses this range for proctosigmoidoscopy, which examines the rectum and sigmoid colon via rigid endoscope.

17. Which modifier is appended when a colonoscopy is discontinued in the hospital outpatient setting?

    Modifier $-52$ (reduced services) or $-53$ (discontinued procedure). These modifiers denote reduced or discontinued services in hospital outpatient settings per CPT guidelines.

18. Identify the correct rule: When multiple endoscopic interventions occur in the same session, how are codes selected?

    Report the most comprehensive endoscopy code(s); do not unbundle included services. CPT instructs selecting the code for the farthest extent or most complex service, bundling lesser components.

19. Which option correctly states the CPT definition of colonoscopy extent for coding purposes?

    Endoscope advanced to cecum or terminal ileum (as documented). CPT defines a complete colonoscopy as reaching the cecum or terminal ileum, as noted in the procedure documentation.

20. Identify the correct CPT code for diagnostic ERCP (with or without collection of specimen by brushing/washing).

    CPT $43260$. This code is for diagnostic ERCP procedures, including optional specimen collection methods.

21. What is the correct CPT code for diagnostic flexible sigmoidoscopy, with or without specimen collection?

    CPT $45330$. This code represents a basic diagnostic flexible sigmoidoscopy, including possible specimen collection.

22. What is the correct CPT code for EGD with biopsy, single or multiple?

    CPT $43239$. This code applies when tissue sampling via biopsy is performed during an EGD, regardless of the number of sites.

23. What is the correct CPT code for colonoscopy with biopsy, single or multiple?

    CPT $45380$. This code covers colonoscopy procedures that include biopsy sampling from one or more locations.

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