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Thread: Egd capsule enteroscopy

  1. #1

    Question Egd capsule enteroscopy

    AAPC: Back to School
    Hi ... What would be the appropriate procedure code for the above procedure? Thanks.

  2. #2


    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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