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Lower Device-Assisted Enteroscopy

Heidi Posted Thu 26th of July, 2018 11:35:17 AM
I have a physician that did a lower device-assisted enteroscopy and here is what they did,"the mid ileum contained a submucosal partially obstructing large mass, biopsies were taken with a cold forceps for histology. Area was tattooed with an injection of 5mL of India ink." Because these were done in the mid ileum, should we be billing this as 45378 and 44799 or can we bill these as 45380 and 45381-59? I'm asking because it is a Lower Device-assisted Enteroscopy.
Heidi Posted Thu 26th of July, 2018 11:36:38 AM
And because it isn't in the Colon/Rectum but the Ileum.
SuperCoder Answered Fri 27th of July, 2018 02:46:57 AM


Please find below link, which is a similar kind of scenario.

Please feel free to ask, if you have any questions.



Heidi Posted Fri 27th of July, 2018 07:12:49 AM
Unfortunately i don't have access to this article, but this is not a double balloon in the upper GI, this is a Lower Device-assisted Enteroscopy in the lower GI.
SuperCoder Answered Mon 30th of July, 2018 10:43:27 AM


>If your gastroenterologist used an approach through the rectum, you do not have specific CPT® codes and you will have to reach out to the unlisted procedure code 44799 (>Unlisted procedure, intestine>).

Please feel free to ask if you have further questions.


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