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Gastroenterology Coding Alert

You Be the Coder:

Know if Bravo Capsule Placements are Part of EGDs

Published on Tue Feb 14, 2012

Question: I wish to know more about billing for a Bravo capsule. I understand that if a Bravo capsule is placed without reading it, you are eligible to bill only for the EGD since placement is considered part of the 26 modifier. Can you bill a Bravo capsule placement separately from the EGD if the Bravo is being read? If so, do you bill them separately or together?New Mexico SubscriberAnswer: Prior to placement of a Bravo capsule, your gastroenterologist will generally need to perform an EGD. The purpose of the EGD is multiple as it helps your gastroenterologist assess the location of anatomical landmarks such as the lower esophageal sphincter or the squamocolumnar junction to help place the Bravo capsule. The procedure also helps in the assessment of the signs and symptoms that the patient is experiencing.If the evaluation through EGD prompted the placement of the Bravo capsule, then the [...]
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