AHA Coding Clinic® for HCPCS - 2012 Issue 4

The Reporting of ENDOSCOPY Versus EGD

We are all familiar with the correct reporting of an esophagogastroduodenoscopy (EGD) which involves the evaluation of the esophagus, stomach and either the duodenum or the jejunum as appropriate. However, we have recently received several questions regarding the correct reporting of an EGD when the scope goes beyond the second portion of the duodenum into the jejunum. Typically, the scope utilized in an upper endoscopy (EGD) does not reach beyond the second portion of the duodenum. But it is possible for the scope to extend past the second portion of the duodenum in patients who may have altered anatomy...

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