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HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare , Medicaid , and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner.
The CPT code revisions in 2013 were part of a periodic five-year review of codes. Some psychotherapy codes changed numbers, for example 90806 changed to 90834 for individual psychotherapy of a similar duration. Add-on codes were created for the complexity of communication about procedures.
Endoclips have also found an application in preventing bleeding when performing complicated endoscopic procedures. For example, prophylactic clipping of the base of a polyp has been found to be useful in preventing post-polypectomy bleeding, especially in high-risk patients or patients on anticoagulant medications. [17]
Medicare will only cover a virtual colonoscopy in rare circumstances when traditional colonoscopy is incomplete due to the inability to pass the colonoscope through the body. This may be due to:
Postpolypectomy coagulation syndrome (Postpolypectomy syndrome or PPCS) is a condition that occurs following colonoscopy with electrocautery polypectomy, which results in a burn injury to the wall of the gastrointestinal tract. The condition results in abdominal pain, fever, elevated white blood cell count and elevated serum C-reactive protein.
Colonic polypectomy is the removal of colorectal polyps in order to prevent them from turning cancerous.. Method of removing a polyp with a snare. Gastrointestinal polyps can be removed endoscopically through colonoscopy or esophagogastroduodenoscopy, or surgically if the polyp is too large to be removed endoscopically.
Used to perform colonoscopy: Flexible sigmoidoscope: Used to perform flexible sigmoidoscopy: Rigid sigmoidoscope: Used to perform rigid sigmoidoscopy: Ultrasound endoscope: Used to perform endoscopic ultrasound (EUS) Video capsule: Used to perform video capsule enteroscopy: Endoscopy snare: Used to perform polypectomy and endoscopic foreign ...
Colonoscopies are often used to diagnose colon polyp and colon cancer, [15] but are also frequently used to diagnose inflammatory bowel disease. [16] [17] Another common indication for colonoscopy is the investigation of iron deficiency with or without anaemia. The examination of the colon, to rule out a lesion contributing to blood loss, along ...