endoscopy

  1. B

    Wiki 43237 for staging

    FACILITY CODING QUESTION--should this scenario be coded as 43237 or 43237-74? The indications for the EUS was for staging of squamous cell esophageal. For the endoscopic part it stated--The Olympus GF-UE160-AL5 was introduced through the mouth, and advanced to the second part of duodenum. The...
  2. E

    Wiki ASC Endoscopy Surgery

    What is the CPT Code for the below ERCP Procedure, The Scout film was normal , the esophagus was successfully intubated under direct vision. The scope was advanced to a normal major papilla in the descending duodenum without detailed examination of the pharynx, larynx and associated structures...
  3. A

    Wiki Control of nasal hemorrhage

    I wanted an opinion on what to do about this op report. From what I'm understanding there was a bilateral endoscopy and cautery on the right and packing bilaterally. I know code 31238 is the code for endoscopy with control of hemorrhage but can that code be used for packing so I can code that as...
    • AN2114
    • Thread
    • 30901 31238 bilateral endoscopy endoscopy nasal cautery nasal packing
    • Replies: 2
    • Forum: ENT/Otolaryngology
  4. P

    Wiki 2020 Excludes 1 note on k63.5 and D codes

    There is a new excludes 1 note on K63.5 (polyp of colon) and all D codes (adenomas of colon). As anyone who codes endoscopies knows, it's very common for hyperplastic polyps to exist along with adenomatous polyps, in the same area of the colon or in other areas... so I am confused as to why this...
    • pbrazeau
    • Thread
    • colonoscopy endoscopy exceptions excludes 1 icd 10
    • Replies: 2
    • Forum: ICD-10
  5. A

    Wiki Need Help! Idea for comparable code for sialendoscopy

    I'm having a hard time trying to figure out a comparable code for unlisted code 42699 for a sialendoscopy. The doctor used the sialendoscope to cannulate the salivary duct and to visualize the duct and also injected kenalog via the endoscope. Does anyone have an idea of what can be used as a...
    • AN2114
    • Thread
    • cannulate endoscopy kenalog injection sialendoscopy sialoendoscope
    • Replies: 1
    • Forum: ENT/Otolaryngology
  6. V

    Wiki GI Op Reports Audit Tool

    Hi, Does anyone have an Endoscopy and/or Colonoscopy Audit tool they are willing to share:
  7. S

    Wiki Endoscopic Placement/Advancement of Capsules

    Hello, I am interested to hear how other coders are addressing this sticky area. We own the capsules, so when swallowed in office we bill global. However, in some instances our physicians have elected to place them endoscopically. So we have billed 43235 - 52(if the scope is not advanced to the...
  8. P

    Wiki Esophageal dilation and esophagoscopy

    Hi! I'm not too confident when it comes to esophagoscopy coding. I'm hoping to find someone who is :) What CPT code(s) best describes the following scenario? The diagnosis was pure esophageal atresia & emesis "The patient was taken to the operating room and placed supine on the operating...
  9. P

    Wiki Help with billing Capsule Endoscopy

    Hello fellow AAPC members. We had to let our biller go a few weeks ago and have been struggling to pick up where she left off. I have to bill the following and I am not sure how to prepare the claim. 1. a Capsule Endoscopy done in the hospital - Professional fee only. 2. A Capsule Endoscopy...
  10. K

    Wiki Nasal Endoscopy Rejection

    I am Sarith Kalikkot working as a ENT Coder in Middle East, I am getting rejection for Nasal Endoscopy Procedure for past few months. DIAGNOSTIC ENDOSCOPIC REPORT  Thickening of mucosal lining of nasal cavity, pale in appearance with moderate congestion.  Moderate hypertrophied L inferior...
  11. B

    Wiki Nasal/sinus endoscopy implant

    1. Nasal/sinus endoscopy performed. Propel intersect(dis solvable implant to dispense mometasone furoate) was used on rt and lt. What code is used for implant, is it s1090??? 2. Do we code for posisep (nasal splint) or it included in procedure. If we code separately, what code to use, is it...
  12. K

    Wiki CRNA in ASC Billing

    I am billing for a CRNA who is providing propofol sedation for endoscopy patients in an ASC and I need coding help for Medicare. I billed first with the 00740 or 00810 and the QZ and the P (physical status modifier). Medicare denied for "wrong or missing modifier." I billed again with the...
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