tci General Surgery Coding Alert - 2010 Issue 5

Upper GI Endoscopy; Support EGD or Enteroscopy Choice With Medical Necessity

Don't upcode incidental jejunum peek.Not every endoscope that goes beyond the proximal duodenum warrants enteroscopy codes -- sometimes esophagogastroduodenoscopy (EGD) may be the right option despite "going the distance."Bonus: When you code correctly by ignoring an "incidental" look to the jejunum, you just might garner a monetary reward for your general surgeon's work.Learn Codes' AmbiguityLook at the following codes for push enteroscopy and EGD, and you'll see that "how far" isn't the only key to these codes:›› 43235 -- Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with...

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