AHA Coding Clinic® for HCPCS - 2014 Issue 3; Ask the Editor

Ultrasound-guided celiac plexus procedure

Patient presents to have an endoscopic ultrasound examination and an endoscopic ultrasound-guided celiac plexus block due to chronic abdominal pain, nausea and vomiting. A gastroscope advanced through the second portion of the duodenum was utilized for the stomach examination and removed. An echoendoscope, advanced through the second portion of the duodenum, was utilized for the examination of the pancreas. The scope was removed. A linear echoendoscope was advanced into the area between the celiac artery and aorta. A 20-gauge needle was advanced and an injection consisting of bupivacaine and Kenalog was administered for pain management. The scope was removed. What are the correct codes for the services provided? ...

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