| 14 |
k |
Following incomplete polypectomy, where multiple or large adenomas could not be satisfactorily cleared in one endoscopy session |
| 15 |
l |
Pre-operative assessment of chronic inflammatory bowel disease (IBD) |
| 16 |
m |
Relapse or flare up of IBD or following change of therapy to assess response |
| 824 |
n |
Ileo-colonoscopy 6–12, months post resection of Crohn's disease to assess surgical anastomosis |
| 17 |
o |
Post-colonic cancer surgery at years 1 and 3 and then every 5 years thereafter |
| 19 |
p |
Where the patient's presenting symptoms indicate that a left-sided colonoscopy or sigmoidoscopy/proctoscopy is necessary and where the findings from that procedure suggest the possibility of disease elsewhere in the colon necessitating complete colon examination. The findings are as follow: – Colonic polyps, – Colonic carcinoma, – Inflammatory bowel disease, – Blood-stained mucus or stool coming from beyond the range of a sigmoidoscopy/proctoscopy examination |
| 20 |
q |
Repeat full colonoscopy when there is unexplained deterioration in symptomatology not explained by left-sided colonoscopy |
| 21 |
r |
Left-sided colonoscopy to assess disease activity at the time of significant reduction or withdrawal of medication |
| 22 |
s |
Left-sided colonoscopy at the time of significant symptomatic relapse |
| 23 |
t |
Left-sided colonoscopy where there is a failure to respond to treatment or where there is suspicion of a second diagnosis such as Clostridium difficile infection with superimposed pseudomembranous colitis |
| 316 |
u |
Evaluation of an abdominal mass |
| 783 |
v |
Other exceptional reasons provided a comprehensive medical report accompanies the claim outlining the medical necessity for the procedure e.g. repeat endoscopy recommended on pathology report |