AMA CPT® Assistant - 2011 Issue 5 (May)

Surgery: Digestive System [Q & A] (May 2011)

May 2011 page 9a Surgery: Digestive System Question: What is the appropriate code to report probe-based Confocal Laser Endomicroscopy (pCLE), which allows real-time cellular observation of mucosal tissue of the digestive system during an endoscopy session? Answer: Currently no CPT codes exist for probe-based microscopy. This service should be reported with one of the following unlisted codes 43499, Unlisted procedure, esophagus; 44799, Unlisted procedure, intestine; 47999, Unlisted procedure, biliary tract; or 48999, Unlisted procedure, pancreas, depending on what organ was visualized. The unlisted code may be reported in addition to the endoscopic procedure. Surgery: Digestive System [Q & A]...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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