One valuable resource that has specific descriptions of all endoscopy codes is the "CPT Assistant," Spring 1994 issue. It's 15 years old, but the information is still good. There is also a "CPT Assistant" from October 2008. In essence, the method for billing EGDs is similar to billing for colonoscopy: the code family depends on how far the endoscope is passed. Once the family is determined, then the therapeutic and/or diagnostic services are chosen from that family. For example, examination of the esophagus and stomach is billed from the family of esophagoscopy, 43200; when the scope passes the pylorus, the service is from the family of EGD, 43235; when the scope passes the 2nd portion of the duodenum, the service is from the enteroscopy family 44360, and when the scope reaches the ileum, 44376.
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