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Egd capsule enteroscopy - procedure code

  1. Question Egd capsule enteroscopy - procedure code
    Medical Coding Books
    Hi ... What would be the appropriate procedure code for the above procedure? Thanks.

  2. Default
    91110 Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with physician interpretation and report
    bill with -52 modifier if ileum is not reached

    Generally only covered by most payers if looking for GI bleeding without finding a cause after small bowel follow through, EGD and colonoscopy or for suspected crohn's or small bowel neoplasm again after traditional tests have failed to find a cause for symptoms. capsule EGD is only covered by Medicare for esophageal varices.

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