tci General Surgery Coding Alert - 2005 Issue 8

Reader Questions: Scope Type Affects Endoscopy Coding

Question: Last week, a patient presented with diarrhea and anemia. The surgeon performed an endoscopy and took a biopsy of the duodenum to rule out celiac disease. Should I report an upper gastro endoscopy code, or do payers consider this procedure a small intestinal endoscopy?Ohio Subscriber Answer: The answer depends on what type of scope your surgeon used during the procedure. Before sending out the claim, make sure you double-check your coding with the surgeon. You can, however, look at the operative report for clues as to what type of endoscopy took place. Examine the procedure notes and...

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