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Table 1 Eligible codes to identify screening colonoscopies of interest

From: Costs and repeat rates associated with colonoscopy observed in medical claims for commercial and Medicare populations

Code

Definition

Healthcare Common Practice Coding System (HCPCS)

45378

Diagnostic/screening colonoscopy for non-Medicare patients

45380

Colonoscopy with biopsy single/multiple

45383

Colonoscopy with ablation of tumors, polyps, or other lesions not amenable to removal by hot biopsy forceps

45384

Removal of polyps or other lesions by hot biopsy

45385

Removal of polyps or other lesions by snare technique

G0121

Screening colonoscopy for other Medicare patients

International Classification of Disease (ICD-9) Diagnosis for excluding patients with pre-existing high-risk conditions

V76.51

Special screening for malignant neoplasm, colon

211.3

Benign neoplasm of other parts of digestive system, colon