Screening Procedure Information for Colonoscopy and Endoscopy

If your colonoscopy has been scheduled as a screening colonoscopy (meaning you have no symptoms with your bowels), and your doctor finds a polyp or tissue that has to be removed during the procedure, this procedure is no longer considered a screening procedure, it is considered a surgical procedure and your insurance benefits may change. Please check with your insurance carrier prior to starting the bowel preparation. Symptoms such as change in bowel habits, diarrhea, constipation, bleeding and anemia constitute bowel symptoms.


Screening CPT codes 45378, G0105, G0121
Colonoscopy with biopsy 45380
Colonoscopy with polypectomy 45385 usual diagnosis code 211.3 or 211.4

If your upper endoscopy has been scheduled as a screening procedure (meaning you have no symptoms with your stomach), and your doctor finds any polyps or tissue that needs to be biopsied, the procedure is no longer considered a screening procedure, it is considered a surgical procedure and your insurance benefits may change. Please check with your insurance carrier prior to the procedure for detailed information.


Screening CPT codes 43235
Upper endoscopy with biopsy 43239
Upper endoscopy with polypectomy 43251