AMA CPT® Assistant - 1998 Issue 12 (December)

Digestive System, 43239, 87072 (Q&A) (December 1998)

December 1998 page 10b Coding Consultation Digestive System, 43239, 87072 (Q&A) Question What is the appropriate code assignment for an EGD with CLO test? Can the actual laboratory test be reported separately, in addition to the EGD? AMA Comment An EGD with CLO test typically involves obtaining a tissue biopsy via the endoscope. Therefore, the appropriate way to report an EGD with CLO test is with code 43239, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple, for the EGD portion of the procedure. The actual laboratory test...

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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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