Wiki Capsule Endoscopy Coding Question


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I am a coder for pediatric gastroenterolgy. My doctor just did a capsule endoscopy using the Pillcam. Normally, the patient swallows the pill; however, in this instance, the patient would not swallow the pill and the physician placed it during an EGD.

My thinking is that I will code the EGD, because he did do a seperate EGD, and a 91110-TC (he is not interpreting it). The doctor feels that he did extra work b/c he placed the Pillcam instead of the patient swallowing it and he would like that reflected on the claim.

So if anyone has any ideas, I would appreciate it.
Do you know if the patients insurance will pay for the Pillcam? I work for an insurance company and we do not cover the Pillcam.

mbane, cpc