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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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


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