About this policy
The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy L34454. Covered Indications as outlined in the LCD: For surveillance of colonic neoplasia (when the patient has a history of colorectal cancer or polyps and is being followed for this indication, use the appropriate CPT/HCPCS code with the appropriate ICD-10-CM code and 1 of the following ICD-10-CM codes as the secondary diagnosis: Z85.038, Z85.048, Z86.0100, Z86.0101, Z86.0102 or Z86.0109): For follow-up 1 year after surgery for treatment of colorectal cancer when the patient is identified as being at high-risk for colon cancer and is eligible for continued screenings at 24-month intervals (HCPCS code G0105 should be reported).
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
| Code | Code system | Status in this policy |
|---|---|---|
| 44388 | HCPCS | Covered |
| 44389 | HCPCS | Covered |
| 44390 | HCPCS | Covered |
| 44391 | HCPCS | Covered |
| 44392 | HCPCS | Covered |
| 44394 | HCPCS | Covered |
| 44401 | HCPCS | Covered |
| 44402 | HCPCS | Covered |
| 45300 | HCPCS | Covered |
| 45303 | HCPCS | Covered |
| 45305 | HCPCS | Covered |
| 45307 | HCPCS | Covered |
| 45308 | HCPCS | Covered |
| 45309 | HCPCS | Covered |