Submucosal Injections with Colonoscopy


August 8, 2014


Our colorectal surgeon injected “India ink” at the site of a polyp removal. The surgeon is telling me this is a separately reportable procedure and I am saying it is not because you can only report one procedure per polyp. Who is correct?


In this case, the surgeon is correct. CPT code 45381 Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substance describes this procedure and is separately reportable with the polyp removal.