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Gastroenterology Coding Alert

Upper Endoscopy:

3 Factors Make Up The Core of EGD Coding

Published on Fri Apr 01, 2011

Differentiate "sample collection" from actual biopsy. When your gastroenterologist ventures into a patient's stomach, say when treating gastroesophageal reflux disease (GERD), chances are she would opt to evaluate the surface of the lower or distal esophagus. This service is known as esophagogastroduodenoscopy (EGD), and mainly involves imaging the upper GI tract consisting of the esophagus, stomach, and first part of the small intestine also known as the duodenum. Keep your hopes high for a potential $345 payment by easily navigating through the ins and outs of EGD coding. How? Check out this op note, where a gastroenterologist performed a conventional EGD with sedation, and find out. Op note: Informed consent was obtained. The patient was carefully premedicated with a total of 5 mg of Versed intravenously given in careful titration prior to and during the procedure. The adult fiberoptic gastroscope was passed into the esophagus under direct vision without complications. [...]
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