AMA CPT® Assistant - 2009 Issue 3 (March)

Upper GI Endoscopy with Ultrasonography (March 2009)

March 2009 pages 8-9 Coding Communication:Upper GI Endoscopy with Ultrasonography The following coding clarification is provided as a result of the Relative Value Update Committee's (RUC) Five-Year Review Identification Workgroup process. The Centers for Medicare and Medicaid Services (CMS) and the RUC identified the following endoscopy codes through a highvolume growth screen. A rapid change in reporting suggested that there may be issues with reporting the codes appropriately. The necessary components for reporting these codes are described below. This article clarifies the intent of the codes, describes inclusive components, and will aid in appropriate reporting. The maturation of gastrointestinal...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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