AHA Coding Clinic® for HCPCS - 2011 Issue 3; ASK the EDITOR

Upper balloon-assisted enteroscopy with fluoroscopy

A 67 year old patient presents for upper balloon-assisted enteroscopy due to GI bleeding. After the administration of monitored anesthesia care, an endoscope was passed under fluoroscopic guidance. An enteroscope was introduced through the mouth and advanced to the distal jejunum. The upper balloon-assisted enteroscopy was somewhat difficult to perform due to a J-shaped stomach. No significant pathology was found in the portion of the jejunum that was examined and the area was successfully injected with 7 mL of India ink for tattooing. The examination of the esophagus and stomach was normal. How should we report this service?   ...

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