Revenue Cycle Insider

Path/Lab Coding:

Report Pathologist, Not Provider, Findings for This EGD Procedure

Question: The surgeon submitted a stomach biopsy of “inflamed tissue” from an esophagogastroduodenoscopy (EGD) procedure for a patient with gastroesophageal reflux (GERD). The pathologist diagnosed the biopsy as a gastric ulcer with H. pylori infection. What is the correct diagnosis — for GERD or stomach ulcer? Michigan Subscriber Answer: You should not code the gastroesophageal reflux disease (GERD) because that is not [...]
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