tci Part B Insider - 2015 Issue 16

Part B Coding Coach: Answer 3 Questions to Ace Your Upper GI EUS Claims

Report the EGD EUS only if your gastroenterologist has documented this procedure. Do you automatically reach for endoscopic codes whenever your gastroenterologist uses endoscopic ultrasound (EUS) for any structural evaluation of the luminal wall and adjacent tissues in the gastrointestinal tract? Then you’re heading for trouble as EUS has its own specific codes. Answer these questions such as the extent of EUS, presence or absence of biopsy to get the max out of EUS procedures. 1. What is the Extent of GI Tract Examination? When your gastroenterologist performs an EUS on the esophagus, the most important consideration is...

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