Lee Posted Mon 09th of December, 2013 13:34:37 PM
Is a Capsule enteroscopy the same as a Capsule endoscopy, if not what would be the cpt for Capsule enteroscopy?
SuperCoder Answered Mon 09th of December, 2013 17:25:24 PM
A capsule enteroscopy is not the same as a capsule endoscopy. Unlike an endoscopy which examines the esophagus and parts of the stomach, a capsule enteroscopy lets your gastroenterologist study your small intestine. There is no CPT code for capsule enteroscopy so use 91299 Unlisted diagnostic gastroenterology procedure and you will need to give copies of procedure notes to the payers.
Lee Posted Thu 26th of December, 2013 09:07:46 AM
The description of the Capsule Endoscopy also visulaizes through the ileum, so why would I have to use an unlisted?
SuperCoder Answered Thu 26th of December, 2013 14:32:55 PM
I agree with your findings.
Capture Approach and Extent for Accurate Enteroscopy Reporting
Enteroscopy is a procedure used by your gastroenterologist to view the small intestine. Another method used to visualize the small intestine is to use capsule endoscopy. However with capsule endoscopy, your gastroenterologist will only be able to visualize the small intestine and will not be able to perform any additional procedures, like taking a biopsy specimen.
Your gastroenterologist might use different techniques for enteroscopy. The three different techniques used by gastroenterologists for enteroscopy include:
Single balloon enteroscopy
Double balloon enteroscopy
Note that there are no separate CPT® codes for the different techniques of enteroscopy your gastroenterologist might use. Instead, while choosing the right code to report you will have to concentrate on the following guidelines:
The approach used -- The most common approach is through the mouth (antegrade approach) although sometimes your gastroenterologist might view the distal portions of the ileum using a retrograde approach through the rectum.
The extent to which the small intestine was visualized
The purpose of the procedure (such as visualization, biopsy, removal of a lesion using a snare, control of bleeding, etc)