Wiki 91110 Capsule Endoscope Delivery Device

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mbeachhamilton

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Does anyone know of a seperate procedure for the placement of the "Pill Cam" to the stomach or small intestine of a patient? The patient cannot swallow the pill and it must be placed by the physician. Capsule Endoscope Delivery Device.

Brian Hamilton, CPC
Omega Medical Solutions
 
How did the Dr place the capsule?

Device used to place capsule: On occassion our physician has used a Roth Net – a butterfly net, similar to one used to ensnare polyps – to place the capsule endoscopy to aid those patients who have difficulty passing the device into the colon. Report code 91110 and code 43235 (upper GI endoscopy, diagnostic) if a device (eg, Roth Net) is used to place the capsule endoscopically.

Few payers pay anything extra for the Roth Net itself (GCPS 12/03). To code Roth Net you would have to use 99070 and probably send a separate explanation of what it was used for – invoice if necessary for a commercial carrier.

Additional coding info/billing guide and U.S. Endoscopy does not provide reimbursement information for the Roth Net. (See Given’s guide at: http://www.givenimaging.com/Cultures/en-US/Given/English/Professionals/Reimbursement/ and visit U.S. Endoscopy, based in Mentor , Ohio , at http://www.usendoscopy.com/rothnet.html.
Hope this helps!
 
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