April 2012 page 17b
Question: A patient has angiodysplasia of the intestine and presents for ablation of the same and is not actively bleeding at the time of a small bowel enteroscopy. May code 44378 be reported for control of hemorrhage if the patient has a history of chronic intermittent bleeds due to angiodysplasia or must the patient be actively bleeding?
Answer: It is appropriate to report code 44378, Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator), for the treatment...
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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 April 2012 Q&A article from CPT Assistant focuses on a digestive system coding scenario involving small bowel enteroscopy and treatment of intestinal angiodysplasia. It is useful for coders, billing staff, and gastroenterology practices reviewing how CPT guidance applies to a bleeding-control procedure in a chronic intermittent bleeding context. The article presents one coding question and an explanatory answer tied to procedure reporting considerations.
Why This Topic Matters
It helps readers understand how CPT Assistant discussed reporting for a digestive system endoscopic procedure when the clinical situation involves angiodysplasia and bleeding control. That can support more consistent interpretation of the article’s coding guidance in gastroenterology documentation review.
Article Sections
April 2012 page 17b
Introduces a single coding question and answer focused on a digestive system endoscopy scenario. The section addresses general reporting guidance in a gastroenterology context.
What You Will Learn
How this April 2012 Q&A frames a small bowel enteroscopy coding scenario
The general topic of bleeding-control reporting guidance in digestive system endoscopy
How the article presents CPT Assistant interpretation for a gastroenterology procedure question
The type of clinical context discussed for intestinal angiodysplasia coding review
Who Should Read This
Medical coders
Coding auditors
Gastroenterology billing staff
Revenue cycle staff
Compliance staff
Physician practice coders
Codes Discussed
CPT: 44378
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