CPT CODES

CPT Code 45378

CPT code 45378 is a medical billing code used for diagnostic colonoscopy procedures to examine the colon for abnormalities.

Table of Contents
What is CPT Code 45378
Does CPT 45378 Need a Modifier?
CPT Code 45378 Medicare Reimbursement
Are You Being Underpaid for 45378 CPT Code?
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What is CPT Code 45378

CPT code 45378 is for a diagnostic colonoscopy, which is a procedure used to examine the inner lining of the colon and rectum. This code is specifically used when the procedure is performed to investigate symptoms such as abdominal pain, rectal bleeding, or changes in bowel habits, allowing healthcare providers to identify any abnormalities or diseases within the colon.

Does CPT 45378 Need a Modifier?

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CPT Code 45378 Medicare Reimbursement

The CPT code 45378 is reimbursed by Medicare, as it is included in the Medicare Physician Fee Schedule (MPFS). To determine the specific reimbursement rate for CPT code 45378, healthcare providers should refer to the MPFS, which outlines the payment rates for services covered by Medicare. Additionally, it is important to consult with the relevant Medicare Administrative Contractor (MAC) for your region, as they are responsible for processing Medicare claims and can provide detailed information on coverage and reimbursement policies specific to your area.

Are You Being Underpaid for 45378 CPT Code?

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