Wednesday, March 2, 2011

DX - 209.40, 211.2, 280.0 - 280.9 , 555.0 - 555.9 & 759.6

CODE REFERENCE

This is not intended to be a comprehensive list of codes. Some codes may be variable, and coverage will be based on the clinical indication for the service.



Covered Codes

Code Number Description
CPT-4
91110
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with physician interpretation and report (effective 1-1-2004) (added 5-18-2004)
ICD-9 Procedure
88.90 Diagnostic imaging, not elsewhere classified (added 5-18-2004)
ICD-9 Diagnosis
209.40, 209.41, 209.42, 209.43
Benign carcinoid tumors of the small intestine (added 10-1-2008)
211.2
Benign neoplasm of other parts of digestive system; duodenum, jejunum, and ileum (added 5-15-2007)
280.0 
Iron deficiency anemia secondary to blood loss (chronic) (added 2-13-2004)
280.8
Other specified iron deficiency anemias (added 8-27-09)
280.9
Iron deficiency anemia, unspecified (added 8-27-09)
555.0, 555.1, 555.2, 555.9
Code range for regional enteritis of small intestine (Crohn’s Disease) (added 5-18-2004)
578.0
Hematemesis
578.1
Blood in stool
578.9 Unspecified, hemorrhage of gastrointestinal tract
759.6
Other congenital hamartoses, not elsewhere classified 
HCPCS


Non-Covered Codes

Code Number Description
CPT-4
91111
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus physician interpretation and report (new 1-1-2007) (moved to non-covered 5-15-2007)
ICD-9 Procedure


ICD-9 Diagnosis


HCPCS



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