AMA CPT® Assistant - 2009 Issue 5 (May)

Surgery/Digestive System (May 2009)

May 2009 page 8b Surgery: Digestive System, 43235, modifier 25, 91110, modifier 52 (Q&A) Question: A patient is scheduled to have a video capsule endoscopy for evaluation of her small bowel. She has mechanical dysphagia and is unable to swallow the capsule. The physician places the capsule directly into her stomach or small bowel with an endoscope. What is the correct coding for the endoscopic placement of the capsule? Answer: CPT code 43235, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing...

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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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