Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)

CPT 45387 is the billing code for "Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)". For colonoscopy with ablation of colonic tumors, polyps, or lesions

CPT 45387 has a total RVU of 12.15, broken down as: Work RVU 4.50, Practice Expense RVU 7.20, and Malpractice RVU 0.45. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 45387 include: Indication for colonoscopy and ablation; Location and size of ablated lesions; Ablation technique used; Number of lesions ablated. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 45387: Includes colonoscopy. Includes ablation of tumors, polyps, or lesions Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 45387 include: 59 (Distinct procedural service if performed with other procedures), 52 (Reduced services if procedure not completed), 53 (Discontinued procedure due to patient condition). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 45387 is 30-50 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.