Tuesday, June 1, 2010

Most used CPT List on Enteroscopy

Procedure - ENTEROSCOPY

CPT 44376              Enteroscopy up to ileum
CPT 44378              Enteroscopy upto ileum heater probe cauterization
CPT 44366              Enteroscopy w control of bleeding
CPT 44378              Enteroscopy heater probe cauterization includes ileum

Other Procedures


CPT  91110 Capsule endoscopy 
CPT G0105 Colorectal cancer screening, high risk criteria
CPT G0121 Colorectal cancer screening, not meeting high risk criteria


CPT code and description

44366 - Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)  - average fee amount - $210 - $250


44376 - Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)  average fee amount- $300 - $330


Enteroscopy Overview

A new definition and instructions for reporting antegrade transoral small intestine endoscopy (ie, enteroscopy) will be added to the section guidelines. Enteroscopy is defined by the most distal segment of small intestine that is examined; coding does not reflect the technology used to perform the examination.

Codes in the 44360 family for enteroscopy not including ileum (44360-44373) are endoscopic procedures to visualize the esophagus through the jejunum using an antegrade approach. Codes in the 44376 family for enteroscopy including ileum (44376-44379) are endoscopic procedures to visualize the esophagus through the ileum using an antegrade approach.

If an endoscope cannot be advanced at least 50 cm beyond the pylorus, see the appropriate code in the EGD family (43233, 43235-43259, 43266, 43270). If an endoscope can be passed at least 50 cm beyond pylorus but only into jejunum, see the appropriate code in the enteroscopy not including ileum family (44360-44373).


Enteroscopy

A new definition and instructions for reporting antegrade transoral small intestine endoscopy (i.e., enteroscopy) have been added to the section guidelines. Enteroscopy is defined by the most distal segment of small intestine that is examined; coding does not reflect the technology used to perform the examination.

Codes in the 44360 family for enteroscopy, not including ileum (44360–44373), are endoscopic procedures to visualize  the esophagus through the jejunum using an antegrade approach. Codes in the 44376 family for enteroscopy,including ileum (44376–44379), are endoscopic procedures to visualize the esophagus through the ileum using an antegrade approach.

If an endoscope cannot be advanced at least 50 cm beyond the pylorus, see the appropriate code in the EGD family (43233, 43235–43259, 43266, 43270). If an endoscope can be passed at least 50 cm beyond pylorus, but only into jejunum, see the appropriate code in the enteroscopy, not including ileum family (44360–44373).

To report retrograde examination of small intestine via anus or colon stoma, use 44799, Unlisted procedure, small intestine.

There were no changes to the language of the individual CPT codes.

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