Advanced Search

Gastroenterology Coding Alert

You Be the Coder:

Coding for Bravo Cap Placements

Published on Thu Aug 20, 2009

Question: A new patient reports to the gastroenterologist with complaints of frequent belching and heartburn. After performing a level-two E/M service, the gastroenterologist performs a diagnostic EGD. During the EGD, she also inserts a Bravo capsule and performs a reflux test. Tests came back negative for both cancer and gastroesophageal reflux disease (GERD). How should I code this scenario? Montana Subscriber Answer: You should be able to report the EGD and the Bravo insertion separately along with an E/M service. On the claim, report the following: • 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]) for the EGD • 91035 (Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation) for the Bravo cap insertion • 99202 (Office or other outpatient visit for the evaluation [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Gastroenterology Coding Alert

View All