tci Outpatient Facility Coding Alert - 2015 Issue 10

Upper GI Update: Follow These Tips for Successful Reimbursement of Scope Procedures

Pay attention to the documentation when endoscopy crosses the proximal duodenum. You have to walk a fine line when billing for scope procedures, especially when your physician takes the endoscope past beyond the proximal duodenum. Do you report an esophagogastroduodenoscopy (EGD) or a push enteroscopy? Finding the correct answer to this question will save you hours of frustration and lost dollars. Keep these expert tips in mind to avoid unnecessary appeals and rejections. Clarify Your Scope Code Confusion Before coding the scope, first follow this basic checklist: Scope limited to esophagus: Choose from esophagoscopy codes 43180-43233 to report an...

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