Important interview Question for Gastro Surgery
Interview Question 1A : What is EGD?
Interview Question 1B : What is the extend of scope in EGD? V.imp
Interview Question 1C: What are the criteria for coding endoscopic mucosal resection (EMR)? V.imp
Interview Question 1D: Scenario Question 1
Interview Question 1E: Scenario Question 2
Interview Question 2A : What is Colonscopy?
Interview Question 2B: What is Screening Colonscopy?
Interview Question 2C: What are the difference between G0105 and G0121? V.imp
Interview Question 2D : What is diagnostic Colonscopy?
Interview Question 2E : When physician intent to perform colonsocopy , and scope goes beyond spleenic flexure but not to the cecum and procedure is therapeutic in nature, how will you code ?
Interview Question 2F : When physician intent to perform colonsocopy , and scope goes beyond spleenic flexure but not to the cecum and procedure is diagnostic in nature, how will you code ?
Interview Question 1A : What is EGD?
Egd stands from Esophagogastroduodenoscopy. Egd is the procedure that involves passing a lighted scope through the mouth and down through the esophagus, stomach, and duodenum
Interview Question 1B : What is the extend of scope in EGD?
The scope goes upto 2nd part of duodenum.
Interview Question 1C : What are the criteria for coding endoscopic mucosal resection (EMR)?
Incidental Coding for EMR procedures requires the performance of
1) a technique to lift the lesion; such as submucal injection
2) demarcation of the lesion, often by creating a pseudo polyp out of tissue, or any technique, including white light or narrow band imaging (NB), that allows clear visualization of boundaries of the lesion;
3) endoscopic snare resection.
43254 Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection
Interview Question 1D: Scenario Question 1
The patient came for dysphagia and provider perform EGD and found polyps in esophgagus and bleeding occurs, so to controle bleeding , he put hemostatis bleeding clips, so do we code 43255 for control of bleeding along with 43235.
No we will code controle of bleeding as it was due to the polypectomy but if it as already hemorrhage and if provider perform to control bleeding then we will code 43255.
43255 Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method
Interview Question 1E: Scenario Question 2
How you will code if during EGD ,the same polyps is tyring to cut through cold forceps but it did not complete so provider perform snare forceps polypectomy.
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Code for Cold forcep polypectomy : 43239
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Code for Snare polypectomy: 43251
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We will code both Cold forceps polypectomy and Snare polypectomy: 43239 & 43251
Answer: Code 43251,because the porcedure is complete through second method. Also 43251 is more extenstive procedure.
Interview Question 2A : What is Colonscopy?
Colonscopy is the examination or visulisation of colon through a scope that passed from anus to the cecum.
Interview Question 2B : What is Screening Colonscopy?
Screening colonscopy is the encounter for colonscopy without having sign and symptom.
Interview Question 2C : What are the difference between G0105 and G0121? These are the HCPCS code used for coding of screening colonoscopy for medicare payer.
G0105 is used if patient is at high risk.
So, medicare criteria for an individual at high risk for developing colorectal cancer as one who has one or more of the following:
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A close relative (sibling, parent or child) who has had colorectal cancer or an adenomatous polyp.
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A family history of familial adenomatous polyposis.
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A family history of hereditary nonpolyposis colorectal cancer.
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A personal history of adenomatous polyps.
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A personal history of colorectal cancer.
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Inflammatory bowel disease, including Crohn’s disease and ulcerative colitis.
To report screening colonoscopy on a patient not considered high risk for colorectal cancer, use HCPCS code G0121.
Want to learn more about screening colonoscopy : Click here
Interview Question 2D : What is diagnostic Colonscopy?
Diagnostic colonoscopy is performed when the patient has physical symptoms such as rectal bleeding or pain and the test is necessary to either rule out or confirm a suspected condition. Signs and symptoms are used to explain the reason for the test.
Interview Question 2E : When physician intent to perform colonsocopy , and scope goes beyond spleenic flexure but not to the cecum and procedure is therapeutic in nature, how will you code ?
Since the scope should go to cecum to complete, criteria for colonoscopy, so in this case it is consider as reduced services, we will code 45379 to 45398 with 52 modifier.
Interview Question 2F : When physician intent to perform colonsocopy , and scope goes beyond spleenic flexure but not to the cecum and procedure is diagnostic in nature, how will you code ?
Since the scope should go to cecum to complete, criteria for colonoscopy, so in this case it is consider as discontinue services, we will code 45378 with 53 modifier.
