AMA CPT® Assistant - 2022 Issue 9 (September)
Reporting Transnasal Flexible Esophagogastroduodenoscopy (EGD) (0652T, 0653T, 0654T) (September 2022)
September 2022 pages 13-16 Reporting Transnasal Flexible Esophagogastroduodenoscopy (EGD) (0652T, 0653T, 0654T) For the Current Procedural Terminology (CPT®) 2022 code set, three new Category III codes (0652T, 0653T, 0654T) were established to report transnasal flexible esophagogastroduodenoscopy (EGD). This article provides an overview of the intent and appropriate use of these new codes. Category III Codes 0652T Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) 0653T with biopsy, single or multiple 0654T with insertion of intraluminal tube or catheter (For rigid transoral esophagoscopy services, see 43191, 43192, 43193, 43194, 43195) (For...
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Article Overview
This September 2022 CPT Assistant article explains the introduction of new Category III coding for transnasal flexible esophagogastroduodenoscopy and places those codes in context with related esophagoscopy and EGD code families. It is intended for coders, billing staff, and other healthcare professionals who report gastrointestinal endoscopic services and need to understand the scope of the new CPT guidance, associated parenthetical references, and the article’s procedural examples.
Why This Topic Matters
The article helps readers recognize when transnasal flexible EGD falls into the newly established CPT Category III reporting framework and how that framework relates to other endoscopic code families. This is important for accurate code selection, consistent reporting, and understanding how the new transnasal services differ from other gastrointestinal endoscopy approaches.
Article Sections
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September 2022 pages 13-16
Publication information for the article and its placement within the September 2022 issue.
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Reporting Transnasal Flexible Esophagogastroduodenoscopy (EGD)
An overview of the new CPT Category III reporting topic and the scope of the article’s guidance.
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Category III Codes
A presentation of the newly established code group and related parenthetical references to other endoscopic service categories.
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Clinical Example (0652T)
A procedure scenario paired with a descriptive walk-through for one of the new transnasal EGD reporting examples.
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Clinical Example (0653T)
A procedure scenario paired with a descriptive walk-through for the biopsy-related transnasal EGD example.
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Clinical Example (0654T)
A procedure scenario paired with a descriptive walk-through for the transnasal EGD example involving tube or catheter placement.
What You Will Learn
- The overall purpose of the new transnasal flexible EGD reporting guidance.
- How the article situates the new Category III codes among related endoscopic code families.
- What kinds of procedural scenarios are illustrated by the article’s clinical examples.
- Which broader endoscopy service categories are referenced in the article.
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Gastroenterology practices
- Endoscopy facility staff
- Physician documentation and coding teams
Codes Discussed
Code Ranges Discussed
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