Mar 14, 2024, 09:17 by Sarah Moore

Mar 14, 2024, 09:14 by Sarah Moore

We have a patient who had a colonoscopy in August 2014, and one sigmoid polyp was removed. In the operation note, it was originally put in the plan to repeat the colonoscopy in five years; however, when the pathology report came back, the polyp was hyperplastic, and the doctor changed the recall status to 10 years. The patient is scheduled for a recall colonoscopy in August 2024. Is this patient eligible for an ICD-10 code Z12.11 screening procedure? Or would this be coded with ICD-10 code Z86.010, personal history of colonic polyps, as the primary indication?

Feb 14, 2024, 09:26 by Sarah Moore

Feb 9, 2024, 09:26 by Sarah Moore

The Colon Cancer Prevention Project (CCPP) is encouraging ASGE member endoscopists and gastroenterologists in Kentucky to send an email to Ben Rogers at benjamin.rogers@louisville.edu and Misty Ronau at mistyronau@kickingbutt.org to subscribe to its new free quarterly newsletter.

Feb 9, 2024, 09:22 by Sarah Moore

A 65-year-old female is hospitalized following right hip replacement three days ago. A GI consult is requested for evaluation of abdominal distention. She has poor oral intake. She's receiving regularly scheduled intravenous (IV) morphine for hip pain. She has been immobile for the last two days. Yesterday she noted abdominal distention. Her last bowel movement was three to four days ago. She last passed flatus one day ago. Complete blood cell count (CBC) and electrolytes are normal. Abdominal films reveal a dilated right-side colon, air in the rectum and normal small bowel. A CT scan of the abdomen and pelvis reveals proximal colonic dilation to 8 centimeters, normal to mildly dilated left-side colon, air in the rectum and no obstruction.

Feb 9, 2024, 08:39 by Sarah Moore

Can the new CPT code G2211, “visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established),” which went into effect on January 1, 2024, be used in GI practices?

Feb 9, 2024, 08:36 by Sarah Moore

Feb 9, 2024, 08:32 by Sarah Moore

Jan 23, 2024, 12:57 by Sarah Moore

Jan 23, 2024, 10:07 by Sarah Moore

Jan 23, 2024, 09:47 by Sarah Moore

Jan 12, 2024, 10:08 by Sarah Moore

We have a patient in the hospital who has a G-tube that the patient says is too small—medications are difficult to give, and feeds are too slow. Our doctor exchanged the tube at the bedside. Would this be considered just a visit and not a procedure?

Jan 11, 2024, 13:48 by Sarah Moore

Jan 11, 2024, 13:40 by Sarah Moore

Jan 2, 2024, 09:35 by Sarah Moore

Jan 2, 2024, 09:33 by Sarah Moore

Jan 2, 2024, 09:29 by Sarah Moore

Jan 2, 2024, 09:22 by Sarah Moore

Dec 7, 2023, 15:36 by Sarah Moore

Dec 7, 2023, 15:23 by Sarah Moore