2025 CPT code 45382
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Colonoscopy with control of bleeding.
Modifiers 22 (increased procedural services), 52 (reduced services), and 53 (discontinued procedure) may be applicable depending on the circumstances of the procedure.
Medical necessity is established by the presence of significant gastrointestinal bleeding requiring endoscopic intervention.The procedure is justified to control the bleeding, prevent further complications (e.g., anemia, hypovolemic shock), and determine the etiology of the bleeding.
The physician performs a colonoscopy, identifies the source of bleeding, and employs appropriate techniques (e.g., injection, cautery, laser) to control the hemorrhage.
In simple words: The doctor uses a thin, flexible tube with a camera (colonoscope) to examine the inside of the colon and rectum and stops any bleeding found.
Colonoscopy, flexible; with control of bleeding (e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator).Do not report 45382 in conjunction with 45381, 45398 for the same lesion. Do not report 45382 in conjunction with 45378.
Example 1: A 65-year-old male presents with rectal bleeding. Colonoscopy reveals a bleeding diverticulum in the sigmoid colon. The physician uses bipolar cautery to control the bleeding., A 72-year-old female with a history of ulcerative colitis experiences a significant episode of hematochezia.Colonoscopy shows active bleeding from an ulceration in the transverse colon.The physician injects epinephrine to control the bleeding., A 48-year-old male with angiodysplasia undergoes a colonoscopy that reveals active bleeding from an angiodysplastic lesion in the right colon. The physician uses a heater probe to achieve hemostasis.
Complete history and physical examination, including a detailed description of the bleeding episode.Procedure report must specify the location and method of hemostasis.Documentation of pre-procedure bowel preparation. Imaging studies (if any) that support the diagnosis. Pathology results (if applicable).
** Always refer to the most current CPT codebook and guidelines for accurate coding.This information is for guidance only and should not be considered a substitute for professional medical coding advice.
- Revenue Code: P8D (ENDOSCOPY - COLONOSCOPY)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Gastroenterology, General Surgery, Colorectal Surgery
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center