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Killer tricks to learn Cpt code for Upper GI

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Introduction about CPT code for upper GI

The codes for upper GI are very important. These codes are used very frequently in radiology coding. The coders have lot of confusion while coding CPT code for upper GI. The upper GI coding is little tricky due to use of single and double contrast. Cpt Code for Upper GI are few but hard to differentiate from one another. There are few things to remember, to code upper GI codes. Let’s check out the how to find out the correct CPT code for upper GI procedures.

Killer tricks to learn Cpt code for Upper GI

List of CPT code for upper GI

 The CPT code for upper GI is divided first on the use of single and double contrast. After that the codes for upper GI are divided with or without the performance of KUB.  Also we have codes for Small bowel follow through for single and double contrast. Cpt Code for upper GI can be easily coded if we easily filter out these keywords from the upper GI codes. Below is the list of CPT code for Upper GI

For Single Contrast

74240- Radiologic examination, gastrointestinal tract, upper; with or without delayed films, without KUB

74241- Radiologic examination, gastrointestinal tract, upper; with or without delayed films, with KUB

74245- Radiologic examination, gastrointestinal tract, upper; with small intestine, includes multiple serial films

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For Double or Air contrast

74246- Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, with or without glucagon; with or without delayed films, without KUB

74247- Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, with or without glucagon; with or without delayed films, with KUB

74249- Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, with or without glucagon; with small intestine follow-through

74250-   Radiologic examination, small intestine, includes multiple serial films;

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Important things to Check for Cpt code for Upper GI

There are few things to check for coding CPT code for upper GI. First always check for presence of single or double contrast. Single contrast is mostly mention as single contrast in medical report but for double contrast sometimes the physician mention as Air contrast, which also mean double contrast. Sometimes, they will not mention air contrast as well but, they will mention some effervescence crystals, in the technique which also mean the exam is done with double contrast. Once, we have differentiated between single and double contrast we can check whether the exam is performed with or without KUB. KUB (kidney, urinary, Bladder) is an image taken for examination. Mostly the physician mention as “preliminary images were taken or obtained” or “Images were taken” or “preliminary films were taken” to document the presence of KUB in the report. So, such phrases help in differentiate whether the exam is done with KUB or without KUB. Once we have filtered these (contrast & KUB) thing we can easily reach out to correct code. For small bowel follow through we have direct for double contrast (74249) and for single contrast we will use 74245.

Hope, you will now easily code CPT code for upper GI in future. Please share it if you like the article.  

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