Wiki Capsule Endoscopy - I am interested to know

Create Wiki
B

bbeatty

Networker
Messages
51
Location
Beaver Falls, PA
Best answers
0
I am interested to know how others are billing their capsule endoscopies when placed endoscopically. I know that the EGD should be billed, but we have been billing 91110-52 for the capsule reading with some success. If anyone else does this, can you tell me when you bill for the reading, do you bill the date of capsule placement or the date of the reading??? Thanks in advance for your help!
 
bbeatty said:
I am interested to know how others are billing their capsule endoscopies when placed endoscopically. I know that the EGD should be billed, but we have been billing 91110-52 for the capsule reading with some success. If anyone else does this, can you tell me when you bill for the reading, do you bill the date of capsule placement or the date of the reading??? Thanks in advance for your help!
Click to expand...

Why are you using mod -52?
We bill 91110 on the date of interpretation. It should not be billed for on the date of placement because the test is not complete at that time. 91110 should only be billed once and that is for the date of interpretation.
 
Lisa Curtis said:
Why are you using mod -52?
We bill 91110 on the date of interpretation. It should not be billed for on the date of placement because the test is not complete at that time. 91110 should only be billed once and that is for the date of interpretation.
Click to expand...
This is what I was given from the Capsule billing representative:


guidance from the AGA regarding endoscopic CE placement:

Coding Question
“On occasion, a patient may have difficulty swallowing the capsule endoscope for the intraluminal imaging of the esophagus through the ileum. The physician elects to place the capsule into the stomach endoscopically. How do we code for the placement and the capsule?”

Since the capsule will not be taking images of the esophagus and part of the stomach, code 91110-52 for the capsule, which identifies an abbreviated procedure, and 43235 for the upper endoscopy. Even if the capsule is placed in the esophagus endoscopically, you cannot get paid twice for performing the same procedure, namely viewing the esophagus and the stomach.
 
I was wondering why they were doing an EGD and the capsule also. That was a great info. I will always you the date of the interpretation for the capsule, because you never know.. you might not get it back (lol).:eek:
For the EGD the day its was place.
 
code 43235-52 for the placement of the capsule due to where its being placed
91110 includes interpretation right? 91110-52 is interpretation from the origin where it started since not the esophagus...
 
You must log in or register to reply here.
Top