![]() ![]() The base value of the code is not subject to a copayment, but the patient may be required to remit a copayment for the additional cost of the therapeutic procedure. By using this modifier and the proper diagnosis codes, the endoscopist tells the payor that the diagnostic procedure is done for screening. This modifier also may be appended to therapeutic colonoscopies, such as 45385 (colonoscopy, with removal of tumor, polyp, or other lesion by snare technique). ![]() This indicates to payors that the procedure should be reimbursed without regard to patient copayment or deductible. If the procedure is a screening exam, modifier 33 (preventative service) is appended. It includes brushings or washings, if performed. CPT code 45378 is the base code for a colonoscopy without biopsy or other interventions. ![]() Colonoscopy codes are listed in the digestive section of CPT, codes 45378–45398 (or codes 44388–44408, if performed through a stoma rather than the anus). For non-Medicare payors, use the CPT conventions. It is important to note that the codes for reporting these procedures differ between Medicare and other payors.
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