tci Outpatient Facility Coding Alert - 2013 Issue 11
You Be the Coder: Checkpoints for Filing 76975 With Endoscopic Procedure
Question: If we document the endoscopic ultrasound and supervision, can we report 76975 with all gastrointestinal endoscopic procedures other than codes 43231, 43232, 43237, 43238, 43242, 43259, 45341, and 45342? Texas Subscriber Answer: You’ll have to make that decision case by case. When you report any procedure and the code descriptor says, “with endoscopic ultrasound examination” (such as the codes you listed), you should not separately report 76975 (Gastrointestinal endoscopic ultrasound, supervision and interpretation). For example, if you see the guidelines for reporting 43259 (Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either...
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