AHA Coding Clinic® for HCPCS - 2011 Quarter 3; ASK the EDITOR
Lower balloon-assisted enteroscopy with fluoroscopy
A patient presents for lower balloon-assisted enteroscopy with fluoroscopy. The enteroscopy was introduced through the anus and advanced to the mid ileum. Approximately 75 to 100 cm of the ileum was examined and the most proximal region was successfully injected with 10 mL of India ink for tattooing. What is the appropriate CPT code for the lower balloon-assisted enteroscopy with India ink tattooing performed under fluoroscopic guidance? Also, should a modifier be appended since the entire ileum was not examined? ...
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Article Overview
This premium article addresses a lower balloon-assisted enteroscopy case performed with fluoroscopic guidance and tattooing, and explains the CPT coding topic involved. It is intended for coding professionals who need help identifying the relevant code set and understanding the general reporting approach for this type of gastrointestinal procedure.
Why This Topic Matters
Accurate coding for advanced endoscopic procedures with imaging support can affect claim reporting and consistency. This article helps readers determine whether the service fits a specific CPT code or requires an unlisted procedure report.
What You Will Learn
- How this lower balloon-assisted enteroscopy scenario is framed for CPT coding
- How fluoroscopic guidance factors into the coding discussion
- How the article addresses reporting when no specific CPT code is available
- Whether the article addresses modifier use in this context
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Physician coding staff
Codes Discussed
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