fluoroscopy - Biphasic esophagram and upper GI series

prabha

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Can we code CPT 76000 along with 74241 for the below procedure????

Biphasic esophagram and upper GI series :
Barium was swallowed under fluoroscopic observation. There was no
abnormality of the swallowing mechanism. The esophagus appeared
intrinsically and extrinsically normal. There was however
significant gastro-esophageal reflux into the upper esophagus
during what is siphon test.
Stomach revealed no mucosal ulceration or mass. There was normal
antral peristaltic activity.

The duodenal bulb filled without ulceration or deformity in the proximal small bowel reveal no significant abnormality.

Impression
Significant gastroesophageal reflux into the upper esophagus but
no other significant abnormality.
 
Can we code CPT 76000 along with 74241 for the below procedure????

Biphasic esophagram and upper GI series :
Barium was swallowed under fluoroscopic observation. There was no
abnormality of the swallowing mechanism. The esophagus appeared
intrinsically and extrinsically normal. There was however
significant gastro-esophageal reflux into the upper esophagus
during what is siphon test.
Stomach revealed no mucosal ulceration or mass. There was normal
antral peristaltic activity.

The duodenal bulb filled without ulceration or deformity in the proximal small bowel reveal no significant abnormality.

Impression
Significant gastroesophageal reflux into the upper esophagus but
no other significant abnormality.

Use of fluoro is included in radiological examinations that produce images. It should not be separately billed.

HTH:)
 
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