Colonoscopy, flexible; with control of bleeding, any method

CPT 45382 is the billing code for "Colonoscopy, flexible; with control of bleeding, any method". For colonoscopy with control of active bleeding using any endoscopic method

Medicare pays approximately $626.88 for CPT 45382 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 45382 has a total RVU of 12.48, broken down as: Work RVU 4.80, Practice Expense RVU 7.20, and Malpractice RVU 0.48. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 45382 include: Indication for colonoscopy and source of bleeding; Location of bleeding site; Hemostasis technique used (cautery, clips, injection, etc.); Effectiveness of hemostasis. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 45382: Includes colonoscopy. Includes control of bleeding using any method Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 45382 include: 59 (Distinct procedural service if performed with other procedures), 22 (Increased procedural services for difficult hemostasis), 78 (Unplanned return to operating room for related procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 45382 is 30-50 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.