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Thread: Elizabeth I hope you are out there.....

  1. #1
    Join Date
    Apr 2007

    Default Elizabeth I hope you are out there.....

    AAPC: Back to School
    I have a question about egd documentation. My docs are good at saying that the scope was passed all the way to the duodenum, but shouldn't they be making some sort of comment on the condition? I have a report today for "iron deficiency anemia secondary to chronic blood loss, follow up of esophageal varices". Doctor inserted the scope and advanced to the 3rd part of the duodenum. His findings are "Grade I varices were found in the lower third of the esophagus." Is that enough to bill the egd? Or should I stick with a 43200?


  2. #2


    It sounds like a lazy format for the op report, but the doc did say he made it to the duodenum so your should be good with a 43235 I would think. If anyone thinks differently let me know.

    Last edited by blathrop19@gmail.com; 01-31-2012 at 08:12 AM.

  3. #3
    Join Date
    Apr 2007
    Charlotte, NC


    No, the doctor only needs to show how far he/she passed the scope and document that, which he/she did.

    43235 or other suitable CPT is fine.

    I totally agree with Bob about the lazy format.

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