tci Part B Insider - 2011 Issue 26

Reader Question: Consider Shaving, Photo Documentation Integral Parts of EGD

Question: My gastroenterologist wants me to bill photo documentation along with an EGD. Can I bill for photo documentation? What CPT® should I use?Answer: You cannot bill for photo documentation, only for the appropriate EGD procedure (i.e., 43235, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]). When physicians take pictures during an EGD, you should consider the photo documentation part of the diagnostic procedure. Other supplies and services you should deem part of a surgical procedure include:cleansing, shaving...

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