. Author manuscript; available in PMC: 2012 Jul 16.

Published in final edited form as: Gastrointest Endosc. 2010 Oct 15;73(3):447–453.e1. doi: 10.1016/j.gie.2010.07.044

TABLE 1.

CPT and ICD-9-CM codes to identify procedures and findings in Medicare claims

Finding	ICD-9-CM codes
Diverticulosis	562, 562.1,562.10, 562.11, 562.12, 562.13
Colon or rectal polyp	211.3,211.4, 569.0
Colon or rectal tumor	153.x, 154.x, 239.0, 235.2, 230.3
Angiodysplasia	569.84, 569.85
Internal or external hemorrhoids	455.x
Colitis	555.x, 556.x, 009.0, 008.45, 558.x
Colonic ulcer	569.41, 569.82
Additional procedures	CPTcode
Colonoscopy with biopsy, single or multiple (colonoscopy with biopsy)	44389, 45380
Colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery (colonoscopy with hot biopsy)	44392, 45384
Colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare technique (colonoscopy with snare polypectomy)	44394, 45385
Colonoscopy with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery, or snare technique (ablation) (colonoscopy with ablation)	44393, 45383

CPT, Current Procedural Terminology; ICD-9-CM, International Classification of Diseases, 9th Revision, Clinical Modification.