Gastroenterology Coding Alert
Coding Corner:
NCCI Edits Pop Quiz
Published on Fri May 07, 2004
Can you handle the new edits? Take this quiz to ease your stress over the latest NCCI edits. Consider how you would code each scenario before checking the answers on page 38.
Scenario 1: The gastroenterologist performs an upper gastrointestinal endoscopy using a TTS (through-the-scope) 12-mm balloon to dilate a distal stricture, during which he also uses a Maloney dilator in the esophagus.
Scenario 2: The gastroenterologist performs an upper gastrointestinal endoscopy, during which he uses a guidewire and Savory dilators.
Scenario 3: The gastroenterologist performs an upper gastrointestinal endoscopy with biopsy followed by the use of a Maloney dilator in the esophagus.
Other Articles in this issue of
Gastroenterology Coding Alert
- 43235 Is the Key to EGD 'Family' Coding Success
"CMS has upped RVUs for several EGD codes Do you know how frequently biopsies are [...] - CMS Grants RVU Increases to 4 Codes in the 43235 'Family'
Base endoscopy code is worth 7.59 nonfacility RVUs Gastroenterology coders have no choice but to [...] - NCCI 10.1 Edits Bundle Manipulations With EGDs
Maloney dilations are no longer separately reportable in some scenarios If you've been reporting separate [...] - Coding Corner:
NCCI Edits Pop Quiz
Can you handle the new edits? Take this quiz to ease your stress over the [...] - Coding Corner:
NCCI Edits Pop Quiz Answers
Answer for Scenario 1: For Medicare, report only 43249 (Upper gastrointestinal endoscopy including esophagus, stomach, [...] - Reader Question:
Use Modifier -59 for Normally Bundled Codes
Question: Our office is having trouble distinguishing between the proper times to use modifiers -59 [...] - You Be The Coder:
Append Modifier -21 Only to Level-5 E/M Codes
Question: Our gastroenterologist performed a level-three E/M service on a new patient last week. The [...] - Reader Question:
Attach Prolonged Service Codes to E/Ms Only
Question: Our office sees a lot of hepatitis C patients. Last week, an established patient [...] - Reader Question:
Infection Affects Pouchitis Diagnosis
Question: What is the proper diagnosis code for pouchitis, and is there a different code [...] - Reader Question:
PEJ Tube Reporting Dependent on PEG Presence
Question: How should I report the placement of a PEJ tube?
Missouri Subscriber Answer: It depends [...] - Reader Question:
Report 1-Duct Visualizations as Full ERCPs
Question: Two weeks ago, the gastroenterologist performed an endoscopic retrograde cholangiopancreatography (ERCP) on a patient [...]
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