tci General Surgery Coding Alert - 2019 Issue 4

Endoscopy: Rouse Your Procedure and Dx Skills for This GI Case

Biopsy changes everything. When your surgeon performs multiple endoscopies on the same day, you need to zero in on specimen excisions and bundling rules to get the coding right. Study the following case, then check out our expert’s analysis of how you should assign the procedure and diagnosis codes. Appraise the Case The surgeon performed a colonoscopy and an esophagogastroduodenoscopy (EGD) for a patient with severe iron-deficiency anemia to rule out internal bleeding and malabsorption in the GI tract. The surgeon noted a large hiatal hernia with bleeding, linear lesions at the neck of the hernia. Specimens: The...

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