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Anesthesia Gastrointestinal Coding in 2018

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  • December 5, 2017
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Anesthesia Gastrointestinal Coding in 2018

For 2018, CPT® changes to anesthesia codes concentrate on procedures related to gastrointestinal endoscopy.
Code 00740 is deleted for 2018. In its place, 00731 Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified and 00732 …endoscopic retrograde cholangiopancreatography (ERCP) are introduced to improve specificity when reporting anesthesia services for upper gastrointestinal endoscopic procedures (endoscope introduced proximal to duodenum). For ERCP, use 00732. For all others, see 00731.
Similarly, 00810 is deleted, to be replaced by 00811 Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified and 00812 … screening colonoscopy. For anesthesia during screening colonoscopy, use 00812. CPT® instructs, “Report 00812 to describe anesthesia for any screening colonoscopy regarless of ultimate findings.” For all lower intestinal endoscopic procedures, see 00811.
Also new for 2018 is a code to report anesthesia for combined upper and lower gastrointestinal endoscopic procedures, see 00813 Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum.
Finally, several codes in the anesthesia section are deleted due to low utilization. These include:

01180 Anesthesia for obturator neurectomy; extrapelvic
01190 Anesthesia for obturator neurectomy; intrapelvic
01682 Anesthesia for obturator neurectomy; shoulder spica

John Verhovshek
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John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

No Responses to “Anesthesia Gastrointestinal Coding in 2018”

  1. Debra Phillips says:

    2 questions:
    1) Would “33” & “PT” modifiers still be necessary for the 00811 & 00812 codes?
    2) Would 00813 be used for a patient who is having a screening colo & EGD during the same visit-being EGDs are not routine? Or would 00731 be used for the EGD & 00811/2 for the colo?
    Thank you for your time.

  2. Karen L says:

    I would also like to know the answer to the above question-I do not see it has been addressed yet.
    thank you

  3. Angela Powell says:

    Did you ever get a response from this? Have same questions.

  4. Karen L says:

    I have not ever received a response

  5. Debra Phillips says:

    I have not received an answer to these questions, but on the forum, I found this information, and I’m trying it. Here’s the link (hope this is permitted to share here):
    So based on that I’m using 00813 w/33 or PT modifiers on a combo EGD/Screening Colo. I asked my coworkers who post payments to let me know ASAP if the insurances are denying. At that point I’ll continue to search.

  6. Brad Ericson says:

    Please check out the Member Forums.