Medical Coding

Category - 40,000 Series

A patient who had a colostomy due to colon cancer and resection is going through their six-month checkup after surgery, which involves a colonoscopy through the stoma of the colostomy. During this procedure, the patient has multiple biopsies taken. What CPT code should be used for this procedure?
  1. 44388
  2. 44389
  3. 44391
  4. 44392
Explanation
Answer: B - 44389 is the code for colonoscopy through stoma with single or multiple biopsies.
Code 44388 is incorrect because this is for colonoscopy through stoma with collection of specimens by brushing or washing. Code 44391 is incorrect because this is for colonoscopy through stoma with control of bleeding. Code 44392 is incorrect because this is for colonoscopy through stoma with removal of tumor, polyps, or lesions with hot biopsy forceps.
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