http://www.supercoder.com/my-ask-an-expert/ Supercoder - Ask an Expert? Topic: 43255 versus 44366 en Thu, 23 May 2013 03:12:22 +0000 http://www.supercoder.com/my-ask-an-expert/topic/43255-versus-44366#post-10906 Thu, 26 Jan 2012 21:58:19 +0000 SuperCoder 10906@http://www.supercoder.com/my-ask-an-expert/ <p>You are right that there is a portion common to both, can be cause of confusion. But, I think the key is the past medical history or past op notes and present documentation and indication that will support what codes to be applicable.<br /> *<br /> *<br /> Although the parts you mentioned are common in both, but there is difference in documentation. The UGI endoscope(43255) includes a detailed documentation of observation be it positive or negative(abnormal or normal)of esophagus, stomach, and also of duodenum.<br /> Endoscopic Base Code : 43235<br /> *<br /> But, the indication for 44366 are either based on findings on previous radiological exams, or present indication that directly relates to Duodenum and the documentation doesn't focus on findings of region of esophagus, stomach. Indications are not related to stomach and esophagus too.<br /> Endoscopic Base Code : 44360 </p> http://www.supercoder.com/my-ask-an-expert/topic/43255-versus-44366#post-10867 Thu, 26 Jan 2012 00:58:47 +0000 User id : 19770 10867@http://www.supercoder.com/my-ask-an-expert/ <p>Could someone please help me understand the difference between 44366 and 43255? See the question above. </p> http://www.supercoder.com/my-ask-an-expert/topic/43255-versus-44366#post-10758 Mon, 23 Jan 2012 20:31:10 +0000 User id : 19770 10758@http://www.supercoder.com/my-ask-an-expert/ <p>If the bleeding is controlled in the duodenum, do you choose the CPT by the instrument used: upper EGD scope versus pediatric colonoscope? How far does the exam need to reach in order to qualify for 44366? CPT states:44366= beyond second part of duodenum, not including ileum/ and 43255 = duodenum or jejunum.<br /> If procedure is done in duodenum, either code seems to cover that area. What other detail would support the code choice?<br /> thank you. </p>