Procedure: Colonoscopy
Abdominal pain/distention, colonic decompression
The Colonoscope was introduced through the anus and advanced to the ascending colon for evaluation. This was the intended extent. The colonoscopy was performed without difficulty. The patient tolerated the procedure well.
Procedure:The Colon The perianal and digital rectal examinations were normal.
Findings: Edematous rectum. Areas of ulceration found in proximal and rectosigmoid colon. Possible polyp or mass in sigmoid colon which did not completely obstruct as scope was able to be traversed passed area.
Decompression of the colon was attempted and was successful, with complete decompression achieved. Following the
maneuver, a tube was placed to maintain the decompression.
Transverse Colon Hepatic Flexure
-Possible polyp or mass in sigmoid colon which did not completely obstruct as scope was able to be aversed passed area.
-Areas of ulceration found in proximal colon and rectosigmoid.
-Edematous rectum.
-Colonic decompression tube left in place
We code 45378 and ?