Question

Laboratory testing is one of the most common types of ancillary services that providers will request to be performed on a patient. There are many reasons why laboratory testing may be completed. Consider a time when you or a loved one had lab testing. Perhaps use these tests as your example when sharing your code selections during this discussion. Apply your knowledge of what you have learned in this CPT section. Include the following aspects in the discussion: Select and describe two coding examples of Laboratory services. Interpret why a physician would order these tests for a patient. Discuss whether your code selections may require a modifier and if so, include this information. Do not choose the same codes as your peers

Answer 1

Esophagogastroduodenoscopy

It is a procedure with which upper part of GI tract is visualised with fibreoptic endoscope up to the duodenum.Codes in this series (43235- 43259) identify different services such as moderate sedation performed during the above procedure.

This is required say in case of upper gi bleeding, melena,where due to peptic ulcer complain,clinician have to perform the above.There may be associated H.pylori infection causing Gi haemorrhage, which is to be proved by biopsy, culture and rapid urease test.

The complains are upper GI pain,usually in the epigastric region,pallor ,black stool,etc

The Current Procedural Terminology (CPT) code 43235 ( American Medical Association, ) is a medical procedural code under the range - Esophagogastroduodenoscopy. which is reimbursed by Medicare

Control of bleeding can be obtained through means of injections and cautery. Injections of epinephrine through an upper endoscopy are coded as 43255. This injection would be included in the ASC facility fee and would not be reimbursed separately from an esophagogastroduodenoscopy procedure unless the endoscopy case is completed and the patient is in the PACU/recovery area when the bleed occurs, when a condition of return to the OR to treat ing the hemorrhage occur

CPT modifiers are added to the end of a CPT code with a hyphen

H. PYLORI / CLOTEST w/ code 87077 -QW is the rapid urease test for H.pylori or campylobacter like organism test.