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The blood supply to the colon comes from the superior and inferior mesenteric arteries. Part of the rectum is supplied by the internal iliac system and this anastamoses with the lower branches of the inferior mesenteric system.
The CPT code is 45378 (Colonoscopy, flexible, proximal to splenic flexure, diagnostic). For Medicare patients, coders should report V76.51 as the primary diagnosis, then check if the patient is high risk, based on various factors found on the CMS list.Starting Jan. 1, 2011, if a patient presents for a screening colonoscopy, Medicare will waive the deductible and co-insurance.he procedure involves inserting a colonoscope into the anus and moving through the colon, past the splenic flexure, to visualize the lumen of the rectum and the colon. According to Ms. SanGiovanni, the diagnosis code is selected from the V code section V76.51.