CPT^® 44366, Under Endoscopic Small Intestine Procedures

The Current Procedural Terminology (CPT^®) code 44366 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopic Small Intestine Procedures.

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Summary

The provider uses an endoscope to examine the intestines for abnormalities, going past the second part of the duodenum but not including the ileum, the last part of the small intestine. He also controls bleeding by means such as injections, cautery, heater probe, laser, stapler, or plasma coagulator.

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Cpt 43237 & 43259

[b]The difference between 43239 and 43259[/b] This information is from [I]Optum Encoder Pro[/I]: 43259-Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, includi... [ Read More ]

ERCP with Epinephrine injection

I would use either 44366 (control of bleed e.g.; injection) small intestine or an unlisted code, 47999 unlisted biliary tract, the 47999 would be best I think.... [ Read More ]

control of hemorrhage

In my opinion, either way the ulcer was cauterize as described in 44366, active bleeding or not, same procedure done to stop, or in continuation of preventing it from hemorrhaging again. MS... [ Read More ]

EGD v small intestine endo coding

I agree with Jenny in that codes 44366, 44361 should be used. The scope reached beyond the second portion of the duodenum. A biopsy does not need to occur at the end point of the scope. A biopsy is... [ Read More ]

EGD v small intestine endo coding

I'll be interested in any discussion we can generate about this topic because I have had so many debates on this subject. Here are my thoughts: CCI requires that we code the most comprehensive code ... [ Read More ]

EGD v small intestine endo coding

Our doctor scoped to the jejunum and took bx of gastric erosions, cauterized gastric varices and cauterized jejunal varices. Would you code only 44366 and 44361-59 even though the bx was gastric? O... [ Read More ]

push enteroscopy with coagulation

I would use 44369 enteroscopy s/ablation not amenable by hot bx, snare ect and dx 747.61. Unless your doctor was doing this to control bleeding, then cpt would be 44366. Hope this helps.... [ Read More ]

76 and 77 Modifier

you would actually bill it as: Dr. Smith 71010-26 Dr. Smith 71010-26,-76 Dr. Jones 71010 -26, -77 Dr. Jones 71010-26, -77 and attach supporting documentation (to show this isnt a dup charge) "[B]Mo... [ Read More ]

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