tci General Surgery Coding Alert - 2021 Issue Q3

You Be the Coder: Avoid Enteroscopy Codes for Duodenum ‘Peek’

Question: We have an op report for a procedure described as a diagnostic EGD for gastroesophageal reflux disease (GERD) with a diagnosis of Barrett’s Esophagus, but the note states that the surgeon extended the scope past the second portion of the duodenum. Should we code this as a diagnostic enteroscopy? Ohio Subscriber Answer: No, you should not use the diagnostic enteroscopy code 44360 (Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)) for this case. The surgeon’s stated intent and diagnostic...

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