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A rigid proctosigmoidoscopy is a diagnostic and therapeutic procedure that involves the examination of the rectum and the lower part of the colon (sigmoid colon) using a rigid scope. This procedure is specifically designed for the removal of multiple tumors, polyps, or other lesions utilizing techniques such as hot biopsy forceps, bipolar cautery, or snare technique. During the procedure, an obturator is inserted into the scope, which is then introduced into the anus and advanced approximately 5 centimeters into the rectum. Once the obturator is removed, the eyepiece is attached to the scope, allowing for visualization. The scope is advanced further into the rectum, aided by air insufflation to separate the mucosal folds for better visibility. The scope is then maneuvered to the rectosigmoid junction and, if feasible, into the sigmoid colon. After thorough inspection of the mucosa, any identified tumors, polyps, or lesions can be addressed. The hot biopsy forceps method involves the use of insulated monopolar forceps that simultaneously remove and cauterize tissue, while bipolar cautery employs electrical current between two points on the forceps to achieve similar results. The snare technique involves placing a wire loop around the lesion, which is then heated to excise and cauterize the tissue. This procedure is particularly effective for the removal of multiple lesions, ensuring that patients receive comprehensive treatment during a single session.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure is indicated for the following conditions:
The procedure involves several key steps to ensure effective examination and treatment:
After the procedure, patients may be monitored for any immediate complications. It is essential to provide post-procedure care instructions, which may include dietary modifications and signs of potential complications such as bleeding or infection. Patients are typically advised to follow up with their healthcare provider for further evaluation and management based on the findings from the procedure.
| Short Descr | PROCTOSIGMOIDOSCOPY REMOVAL | Medium Descr | PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE | Long Descr | Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 45300 Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8C - Endoscopy - sigmoidoscopy | MUE | 1 | CCS Clinical Classification | 77 - Proctoscopy and anorectal biopsy |
| PT | Colorectal cancer screening test; converted to diagnostic test or other procedure |
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| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| Pre-1990 | Added | Code added. |
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