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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Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This brief CPT Assistant Q&A addresses coding questions for digestive system services involving an upper gastrointestinal endoscopy and an associated laboratory test. It is useful for coders, billing staff, and compliance teams who need to understand the article’s scope, the CPT codes discussed, and the general reporting context for the procedure and lab component.
Why This Topic Matters
Articles like this help readers quickly determine whether a coding question involves endoscopy, biopsy-related reporting, and a separate laboratory service. It is especially relevant for professionals reviewing CPT guidance from the late 1990s.
What You Will Learn
The coding topic addressed by the Q&A
How the article frames the endoscopy and laboratory components
What types of service reporting questions the article discusses
The general CPT coding context for digestive system procedures
Who Should Read This
Medical coders
Billing specialists
Compliance staff
Practice managers
Revenue cycle teams
Codes Discussed
CPT: 43239
CPT: 87072
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