Colonoscopy is a procedure which enables a physician to directly image and examine the entire colon. It is effective in the diagnosis and/or evaluation of various GI disorders (e.g. colon cancer, colon polyps, diverticulosis, inflammatory bowel disease, bleeding, change in bowel habits, abdominal pain, obstruction and abnormal x-rays or CT scans) as well as in providing therapy (for example, control of bleeding). It is also used for screening for colon cancer. This procedure is particularly helpful for identification and removal of precancerous polyps. A colonoscope is a flexible and steerable instrument to evaluate the entire colon (large intestine). The large intestine is approximately 3 – 4 feet long. A colonoscope is engineered such that biopsies of suspicious areas can be obtained, and polyps (which may turn into cancer) can be removed.
What should I expect during a Colonoscopy? – Click to learn.
What are the prep instructions for a Colonoscopy?
|Miralax Prep Instructions (Most Common)||2 Day Colon Prep Instructions||Prescription Prep|
When should I have a colonoscopy?
If you have no colorectal symptoms, family history of colon cancer, polyps or inflammatory bowel disease you should have your first exam at age 50, whether you are a man or a woman, since colon cancer affects both EQUALLY! Recent evidence suggests that African Americans should begin screening earlier, at the age of 45.
If one or more first degree relative (parent, sibling or child) has had a precancerous polyp or colon cancer, the general guideline is to begin colon cancer screening 10 years younger than the youngest age of the family member with colon cancer, or age 40, whichever is younger. There are additional guidelines for suspected or confirmed rare syndromes, and you should discuss these options with your doctor at (269) 385-9900.
For patients with ulcerative colitis involving the entire colon and patients with Crohn’s disease, screening for colon cancer should begin 8 – 10 years after the initial diagnosis is made.
Will my insurance pay for this procedure? Click here for the answer.
Do not make the mistake of asking your insurance company, “Is it covered?” Use these detailed questions to get accurate answers from your insurance company, regarding what they will pay and how much will be your responsibility.
1. How much is my deductible? Your deductible is the amount you have to pay the doctor before your coverage begins.
2. How much is my coinsurance?
a. (Example: “80/20 Coinsurance” is the amount the insurance company pays (80%) and patient pays (20%) after your deductible has been met).
3. Does my policy cover routine, screening colonoscopies?
a. Can a patient go into a screening colonoscopy but then have to pay for a diagnostic procedure? Click here for the surprising answer.
4.Does my policy cover diagnostic colonoscopy?
5. What is the allowable cost for CPT codes 45378-45385?
6. Are Drs. Dewan, Turk, Beyer and Sharma participating providers? View Participation List.
7. Do I have to use preferred facilities for procedures, x-rays, labs and hospital admissions?
8. Explain any potential costs from the facility, pathologists, anesthesiologists or other healthcare professionals.
Special Note: Increasingly, insurance policies have up to $5,000 deductibles. If your deductible is not met before a procedure, we may ask that you set up a payment plan before scheduling. This proactive approach lets you make informed decisions and avoid surprises.