SuperCoder on "Fecal bacteriotherapy instillation 44705"
The procedure involves destroying unhealthy bacteria in a patient's gut and then replacing the existing gut bacteria with new healthy gut bacteria isolated from another person (donor). This new...
View ArticleSuperCoder on "Fecal biotherapy through J Tube"
44705 will only cover the preparation of the specimen to be used for fecal bacteriotherapy. There is no specific code for instillation of the specimen through the J-tube. This part of the procedure...
View ArticleUser id : 30470 on "Endoscopy to jejunum and removal of remnant gastric poly...
Hello, How would you code endoscopy to the jejunum and removal of a remnant polyp in the stomach? The pt had a EGD 10 days prior for GI bleed. A polyp from stomach was partially removed. Now came back...
View ArticleSuperCoder on "Billing pathology with multiple units"
We apologize for the delay.My editor is working on this. She will get back very soon. Thanks for being patient.
View ArticleSuperCoder on "Endoscopy to jejunum and removal of remnant gastric poly w/snare"
Since only partial removal of polyp was there and the rest of the polyp is removed as per planned procedure in global period. Use 43239-58.
View ArticleSuperCoder on "Billing pathology with multiple units"
As per CPT guidelines:"The unit of service for codes 88300 through 88309 is the specimen."As per CPT Assistant Dec 2011:"In addition, the unit of service for codes 88300-88309 refers to the specimen....
View ArticleUser id : 25339 on "Stool Transplant on a Medicare Patient"
My physician is doing the stool transplant procedure. We are being told by a hospital consultant that when he does a stool transplant on a Medicare patient he can only charge the 'G0455'. My physician...
View ArticleSuperCoder on "Stool Transplant on a Medicare Patient"
In CPT 44705 (Preparation of fecal microbiota for instillation, including assessment of donor specimen) is a new gastroenterology procedure for Stool Transplant but CMS does not accept RUC (Relative...
View ArticleSuperCoder on "Food Bolus"
Consider the appropriate foreign body code, such as 935.1 (Foreign body in esophagus)
View ArticleUser id : 49140 on "total proctocolectomy"
How should a "colonscopy" be coded on a patient who has had a Total proctocolectomy with ileoanal pull through? The performing physician calls it a colonoscopy on the operative report and a pouchoscopy...
View ArticleSuperCoder on "total proctocolectomy"
This is 44385-During pouchoscopy, the GI physician introduces the scope into the rectum to visualize an ileoanal J pouch in the area of the small intestine. The appropriate code for this is 44385...
View ArticleUser id : 25755 on "ERCP w/stent exchange?"
ERCP preformed to remove the oringinal stent that is a 7 French and replace it with a 10 French x 9cm decompression of the biliary tree in standard fashion.No biopsies or other procedure performed.
View ArticleUser id : 49140 on "EGD code"
I am unsure of the CPT code for the following: The indications are: Patient with central pancreatectomy complicated by anastomotic leak. EGD to evaluate the gastric anastomotic are.Procedure: Endoscope...
View ArticleSuperCoder on "ERCP w/stent exchange?"
In your scenario, it sounds as if the stent was already in place when the procedure began, so you would be safe to use 43269. Considering the definition of the code, many gastroenterologists feel this...
View ArticleSuperCoder on "EGD code"
I do not see anything being performed here. Simple EGD done to check gastric anastomotic area.43235-537.89
View ArticleUser id : 49140 on "Liver biopsy specimen not obtained"
Hello, What cpt code do you use if a liver biopsy was performed, but no specimen was obtained? The operative report reads "No tissue was obtained. Two passes 16 gauge in diameter were made with the...
View ArticleSuperCoder on "Liver biopsy specimen not obtained"
Code 47000, Biopsy of liver, needle; percutaneous, is the surgical code for a core liver biopsy (with any size needle) performed as a separate procedure. If a liver biopsy is performed as part of...
View ArticleUser id : 49140 on "Esophageal dilation"
I am unclear on the different types of dilators available for esophageal dilation. What CPT code would you use for the following: "Scope passed up to middle esophagus, know stricture seen. Wire...
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