Correct code: (CPT 45384 = $380.23; CPT 45380-59 = $380.23/2 approximate Medicare reimbursement) Coding tip: If the physician performs and describes a colonoscopy with “biopsy” of a polyp, a query ...

Paul Cadorette: When presenting for a screening procedure, the patient should be asymptomatic (without signs or symptoms). Since the patient presents with rectal bleeding, the purpose of the procedure ...

For people with symptoms that could indicate colorectal cancer, a colonoscopy is considered diagnostic, and Medicare covers the procedure differently, as described below.