What are “through stoma colonoscopies,” what codes apply, and what special documentation is needed?
Through stoma colonoscopies are colonoscopic exams in patients who have surgical diversion (like a colostomy or ileostomy).
Common codes include:
44388 – Diagnostic colonoscopy through stoma
44389 – With biopsy
44394 – With snare removal
44402 – With stent placement
Documentation considerations: clearly specify that the colonoscopy was through a stoma; body part terminology; what interventions were done (biopsy, snare, stent). Mislabeling or omission of “through stoma” can lead to incorrect coding or denials.
For More- https://annexmed.com/gastroenterology-cpt-codes
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