tci Part B Insider - 2014 Issue 44

Reader Question: Pinpoint How to Code Varices Treatment

Question: What methods can gastroenterologists use to treat esophageal and gastric varices, and how should I report these services? Answer: Gastroenterologists typically treat esophageal and gastric varices (enlarged blood vessels) using one of two methods: endoscopic sclerotherapy and band ligation.  In the first step of endoscopic sclerotherapy, the gastroenterologist passes a needle through an endoscope into the esophagus and injects the varices with a sclerosing agent that causes the varices to clot and stop bleeding.  With band ligation, the physician uses an endoscope with a ligator attached to wrap bands around the varices and cease blood flow...

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