Recent content by clarkmegan

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    Wiki ERCP 43264?

    Yes, I consider it debris and bill for it
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    Wiki Endoscopic Biliary Rendezvous CPT

    Did you ever figure out how to code this? I have an almost identical scenario that I'm not sure how to code.
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    Wiki EGD with Botox

    The 2 codes are bundled so you would need a modifier on 43236 if it's in a separate location than the 43245. If it's the same location, then you can only bill 43245.
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    Wiki Colonoscopy biopsy without result to code

    I would use K63.89 to describe the mucosal irregularity and support the biopsy.
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    Wiki EGD with Stitch/Suturing CPT?

    Anyone have a CPT code for EGD with stitch/suturing to repair an esophageal perforation? I'm leaning toward 43499 but not sure if there's a better code.
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    Wiki EUS with Biliary drainage CPT?

    Does anyone know how to code an EUS with biliary drainage catheter? Would 43240 be okay even though it wasn't for a pseudocyst? Patient has pancreatic cancer. It was a failed ERCP with stent placement because he couldn't cannulate the bile duct. See note below:
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    Wiki Screening colonoscopy with 2 techniques for polyp removal

    The screening diagnosis should go on both procedures.
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    Wiki EGD-Multiple Procedures

    Medicare CCI edits is the supporting documentation. The two codes are bundled together.
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    Wiki SCREENING ENDOSCOPY COMMERCIAL PAYORS

    My understanding is there are no payable screenings for upper GI. I have seen our doctor use this diagnosis on the report, but the patient usually has another symptom that is billable. Does the patient have GERD that they are screening for barretts? If so, you can use GERD as your diagnosis.
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    Wiki EGD with mucosal nodule banding

    Thank you for your response. I clarified with the provider and he stated it was not an EMR, just an EGD with banding. Since there is not a code specifically for that, do you think it would be appropriate to only code 43235 if that is all that was done, or should I use an unlisted code?
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    Wiki EGD-Multiple Procedures

    Yes, as long as they are on different sites. If the bx is performed where the dilation occurred, then no you can't. Per CCI edits, 43239 is bundled with 43248 but a -59/XS modifier is allowed on 43239 if it is a separate site.
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    Wiki EGD with mucosal nodule banding

    Does anyone know what CPT code you would use for EGD with mucosal nodule banding? All the note says is "5 mucosal nodules with localized distribution were found in the duodenum. Two bands were successfully placed." This doesn't seem to have enough documentation to be considered an EMR. Would...
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    Wiki Colonoscopy with cautery of AVM

    It was in a webinar. I cannot put my hands on the source quickly, but usually if a patient has iron deficiency anemia, that would justify medical necessity. Also, even though it is not currently bleeding, it does not negate that the fact that AVM/ulcer/etc. was the previous source of bleeding...
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    Wiki Colonoscopy with cautery of AVM

    You will use 45382 or 45388 depending on the intent. Was it for control of bleeding or destruction/ablation? You may have to query the provider for the reason. It does not have to be actively bleeding in order for it to be control of bleeding. It can be for prevention as well.
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    Wiki EGD Diagnosis Question

    I would code the gastritis first since that was the finding and the anemia second. Especially if a biopsy was taken, because that justifies the reason for the biopsy.
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