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March 27, 2018

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Medical Coding News Archives

Digestive Chapter Is Focus of 2014 CPT Code Changes

October 24, 2013:

Anita Schmidt, BS, RHIT, Clinical Technical Editor

The greatest number of 2014 CPT® code changes—almost 25 percent of the total—have occurred in the digestive chapter. These codes now better represent the advancements in endoscopic techniques for the upper gastrointestinal area.

Improvements in optical magnification, miniaturization of endoscopic devices, and advanced imaging technologies have created new areas of application for upper gastrointestinal endoscopic procedures and diagnostic capabilities. A two-year effort by experts in the medical community helped put these technologies into CPT language to better represent the work performed.

Some of the highlights of the updates are:

  • Splitting the esophagoscopy codes to identify whether the endoscope is rigid or flexible
  • Changing the verbiage of “Upper gastrointestinal endoscopy including esophagus” to reflect the more up-to-date terminology of esophagogastroduodenoscopy, or EGD
  • Adding specific codes for endoscopic mucosal resection, placement of an esophageal stent, and lesion ablation
  • Adding new coding notes, code revisions, and new codes for endoscopic retrograde cholangiopancreatography (ERCP)
  • Adding codes to further describe balloon dilation of the esophagus

Future changes to the lower gastrointestinal code set are projected for 2015.

CPT is a registered trademark of the American Medical Association


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