![]() ![]() For either a colonoscopy or EGD procedure:If a lesion is biopsied and the same lesion is removed during the same session, only the removal of the lesion should be coded. Only successful surgeries should be billed: Physicians can bill the CPT code only for a successful colonoscopy technique/procedure.Ileum with control of bleeding (eg, injection … )Ĥ4378, Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum with control of bleeding (eg, injection …)Ĥ5317, Proctosigmoidoscopy, rigid with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)Ĥ5334, Sigmoidoscopy, flexible with control of bleeding, any methodĤ4391, Colonoscopy through stoma with control of bleeding, any methodĤ5382, Colonoscopy, flexible with control of bleeding, any method Here are the CPT codes for endoscopy that include control of bleeding:Esophagoscopy:43227, Esophagoscopy, flexible, transoral with control of bleeding, any method Esophagogastroduodenoscopy:Ĥ3255, Esophagogastroduodenoscopy, flexible, transoral with control of bleeding, any methodĤ4366, Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including The choice of the CPT code depends on the location of the hemo or endo clips used to close the wounds and control the bleeding. Therefore, control of bleeding cannot be billed separately unless a patient arrives with a GI bleed and it is the reason why the endoscopy is performed. Control of bleeding is not billed separately: Biopsy (and most other) endoscopic procedures include control of bleeding.Here are some important pointers for GI/Endoscopy coding and billing. Opting for gastroenterology medical billing services could be a feasible option to overcome these challenges and ensure appropriate reimbursement. Also, billing guidelines differ among insurance companies. Providers need to determine medical necessity and the proper site for delivery of services, and know the specific codes and modifiers to bill for services rendered. GI/Endoscopy coding and billing can be complex. ![]()
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