Pathology/Lab Coding Alert

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Pinpoint Coding for Esophageal Bx with GERD

Question: The pathologist examined two distinct specimens from an EGD procedure for a patient diagnosed with GERD. With no reported esophageal bleeding, the biopsies were taken 6 cm (Specimen A) and 1.5 cm (Specimen B) proximal to the GE junction. The pathologist noted reactive squamous mucosa changes and inflammation in Specimen A, and noted “metaplastic epithelium” in Specimen B. How should [...]
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