Wiki CPT code 44361 Enteroscopy

AuditU

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For all of you GI guru's out there, I have a question.
I have conflicting information and need some clarification please - Let's assume that medical necessity is documented so we don't have to go down that rabbit hole - :)

I have found guidelines that state the provider must document that they have gone 60 cm past the pylorus to use this code. I have also seen "documentation" that states as long as the provider documents that they have gone into the "3rd portion" and performed a biopsy that this is sufficient information to report CPT code 44361.

Thoughts and/or experience with this code? -

Thanks!
 
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