tci General Surgery Coding Alert - 2008 Issue 1

Reader Question: Insertion Depth Determines Lower GI Scope

Question: How can I quickly determine which lower gastrointestinal endoscopy code set I should code from? For instance, what differentiates a sigmoidoscopy from a colonoscopy? Maryland Subscriber Answer: Choosing the right lower GI endoscopy code depends on how far the physician inserted the endoscope. For this reason, you-ll want to be sure that your physician knows the importance of documenting the extent of the endoscopic examination and the anatomical landmarks he viewed. For quick reference, when the physician examines: the anus (up to 5 cm of insertion), you should choose from the anoscopy code set: 46600, Anoscopy; diagnostic, with...

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