Medicine: Gastroenterology (Q&A) (January 2017)

January 2017 page 7b Medicine: Gastroenterology Question: Is the use of an esophageal balloon distension study (eg, EndoFLIP® [Endolumenal Functional Lumen Imaging Probe] Imaging System) during esophagogastroduodenoscopy (EGD) with endoscopic ultrasound (EUS) a separately reportable procedure, or is it included in the EGD with EUS? Answer: The esophageal balloon distension is separately reportable with code 91040, Esophageal balloon distension study, diagnostic, with provocation when performed. For example, the EndoFlip® system is used to measure the dimensions and function of a variety of hollow organs and musculature regions that can constrict a passage throughout the gastrointestinal tract. These measurements are...

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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 article is a short gastroenterology coding Q&A from CPT Assistant that discusses a procedure-bundling question involving upper endoscopy, endoscopic ultrasound, and an esophageal balloon distension study. It is useful for coding professionals, gastroenterology practices, and reimbursement staff who need to understand the scope of the guidance and the coding context discussed in January 2017 CPT commentary.

Why This Topic Matters

The topic matters because procedures performed together during gastrointestinal endoscopy can affect reporting decisions and claim accuracy. Readers can quickly determine whether the article addresses a specific procedural scenario, related CPT guidance, and the clinical contexts mentioned in the discussion.

What You Will Learn

  • The coding question addressed in the gastroenterology Q&A
  • The procedure context involving upper endoscopy and endoscopic ultrasound
  • The general clinical settings mentioned in relation to the study
  • How the article frames CPT Assistant guidance on this topic

Who Should Read This

  • Medical coders
  • Coding auditors
  • Gastroenterology billing staff
  • Compliance professionals
  • Revenue cycle staff
  • Clinical documentation specialists

Codes Discussed


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