Gastroenterology Coding Alert
Photography Is Part of the EGD
Question: Oklahoma Subscriber Answer: No. Just bill the appropriate EGD procedure,for instance 43235 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]). Any pictures your physician took are just part of the diagnostic procedure. The same is true with many supplies and services considered integral to a surgical procedure: • cleansing, shaving, and prepping of skin • draping of patient, positioning of patient • insertion of intravenous access for medication • sedative administration by the physician performing the procedure • local, topical or regional anesthetic administered by the physician performing the procedure • surgical approach, including identification of anatomical landmarks, incision, evaluation of the surgical field, lysis of simple adhesions, isolation of neurovascular, muscular (including stimulation for identification), bony or other structures limiting access to the surgical field • preoperative, intraoperative and postoperative documentation, including photographs, drawings, dictation, transcription • surgical supplies, unless excepted by policy.
Gastroenterology Coding Alert
- Don't Wait for New CPT Codes;Maximize Virtual Colonoscopy Payment Now
Learn whether to file an ABN with 0066T, 0067T. CMS is set to decide in [...] - Develop a System to Deliver the Best Bang for Your PQRI Buck
A coder shares lessons learned from the first two years. If you really want that [...] - You Be the Coder:
Can You Remove All Doubt About This Stent Removal?
Question: My physician gave me charges for an EGD with foreign-body removal connected to diagnosis [...] - READER QUESTIONS:
Call on Injection Code for Pre-Surgical Marking
Question: What procedure code should I use for a flexible sigmoidoscopy to 15 cm and [...] - READER QUESTIONS:
Use Benign-Lesion Code for Stoma Repair
Question: Our gastroenterologist treats a patient who has a gastrostomy tube. The op note says [...] - READER QUESTIONS:
2 Codes Needed for Capsule Placement, Reading
Question: What is the code for placing a small bowel capsule by way of an [...] - READER QUESTIONS:
What's the Code for Weight Loss After Gastrectomy?
Question: I need a code for a patient with weight loss and history of gastrectomy. [...] - READER QUESTIONS:
Sounds Like 2 Procedures, but Use Just 1 Code
Question: My physician's note says "EGD with removal of a dysfunctional PEG tube and placement [...] - READER QUESTIONS:
Photography Is Part of the EGD
Question: My provider is billing an EGD, and in his op report he states that [...] - READER QUESTIONS:
Look for More Details on 'Mucosal Resection'
Question: What is the code for endoscopic mucosal resection? Kentucky Subscriber Answer: If your physician [...]
