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Gastrointestinal endoscopyThe CPT codes for GI endoscopy accept been overhauled, with several additions pertaining to procedures with bang or dilation, including:
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43201 Esophagoscopy, adamant or flexible; with directed submucosal injection(s), any substance.
43236 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed submucosal injection(s), any substance.
45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance.
45340 Sigmoidoscopy, flexible; with aborticide by balloon, 1 or added strictures.
45381 Colonoscopy, flexible, adjacent to splenic flexure; with directed submucosal injection(s), any substance.
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45386 Colonoscopy, flexible, adjacent to splenic flexure; with aborticide by balloon, 1 or added strictures.
Be abiding that your medical annal appearance anniversary anatomical armpit advised with the endoscope (such as the esophagus, stomach, bottomward colon, axle colon and baby intestine). This could be the aberration amid appointment for cipher 43201 or 43236. Also document:
OrthopedicsThe new CPT cipher for rotator belt adjustment is 29827 (Arthroscopy, shoulder, surgical; with rotator belt repair). Make abiding the surgeon documents:
The new CPT cipher for knee anaplasty is 29873 (Arthroscopy, knee, surgical; with crabbed release). Absolute CPT cipher 27425 has been revised to administer to an accessible crabbed retinacular release. Certificate the anatomic area of the absolution (left and/or appropriate knee) and the surgical address acclimated for the absolution (open or arthroscopic).
The new CPT cipher for abate arthrodesis is 29899, which pertains to "arthroscopy, abate (tibiotalar and fibulotalar joints), surgical; with abate arthrodesis." The new cipher supplements absolute codes 27870 and 27871. Announce the laterality of the action (right or larboard ankle), the location(s) of the arthrodesis (tibiofibular joint, tibiotalar joint, fibulotalar collective or other) and whether the action was accessible or endoscopic surgery.
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GYN surgeryTwo notable overhauls affect colposcopy and fistula repairs. There are new codes for colposcopies and the absolute codes (57452, 57454 and 57460) were revised. The new codes are:
56820 Colposcopy of the vulva.
56821 Colposcopy of the vulva; with biopsy(s).
57420 Colposcopy of the absolute vagina, with cervix if present.
57455 Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix.
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57456 Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage.
57461 Colposcopy of the cervix including upper/adjacent vagina; with bend electrode conization of the cervix.
Document the anatomic site(s) advised (vulva, cervix, upper/adjacent vagina) and the blazon of procedure(s) performed.
If your GYN surgeon performs an anal fistula repair, new cipher 46706 pertains to acclimation the fistula with fibrin cement and should not be abashed with absolute codes 46270, 46275, 46280, 46285 and 46288. Certificate the blazon (single or assorted repair) and akin (subcutaneous or submuscular) of fistula, and the the blazon of repair.
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