Gastroenterology


Gastroenterology Revenue Cycle Management Services

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In 2013, two new codes were added to report optical endomicroscopy when performed with esophagoscopy and esophagogastroduodenoscopy (EGD).

Code 43206 was added to the esophagoscopy family to describe real-time therapeutic decisions involved
in optical endomicroscopy procedures when performed with esophagoscopy.

Provision of this service includes the interpretation and report for the service; code 88375 should not be reported in conjunction with this code.
• 43200 Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen(s) by brushing
or washing (separate procedure)
• 43206 with optical endomicroscopy
(Report supply of contrast agent separately)
(Do not report 43206 in conjunction with 88375)

ICD-10 Gastroenterology Superbill Example

Appointment Date & Time: Last Seen Date:
Patient: Gender: DOB: MR# Pat Due: INS Due:
Address: Reason:
Home Phone: Cell Phone: E-Mail:
Case Name: Case No: Case Type: Case Date:
Pr Insurance: Member ID: Co-Pay Amount: Deductible:
Rendering Provider: PCP: Referring Provider:
CPT CODES
CPT Code Description CPT Code Description CPT Code Description
43191 Esophagoscopy, rigid, transoral; diagnostic 43212 Esophagoscopy, flexible, transoral; stent placement 43238 Esophagogastroduodenoscopy, flexible, transoral; EUS with FNA limited to esophagus, stomach OR duodenum
43192 Esophagoscopy, rigid, transoral; injection(s) 43213 Esophagoscopy, flexible, transoral; dilation of esophagus, retrograde 43239 Esophagogastroduodenoscopy, flexible, transoral; biopsy, single or multiple
43193 Esophagoscopy, rigid, transoral; biopsy 43214 Esophagoscopy, flexible, transoral; dilation of esophagus with balloon (30 mm or larger) 43240 Esophagogastroduodenoscopy, flexible, transoral; transmural drainage, pseudocyst
43194 Esophagoscopy, rigid, transoral; foreign body removal 43215 Esophagoscopy, flexible, transoral; foreign body removal 43241 Esophagogastroduodenoscopy, flexible, transoral; intraluminal tube or catheter insertion
43195 Esophagoscopy, rigid, transoral; balloon dilation 43216 Esophagoscopy, flexible, transoral; lesion removal by hot forcep or bipolar cautery 43242 Esophagogastroduodenoscopy, flexible, transoral; EUS with FNA of esophagus, stomach AND duodenum
43196 Esophagoscopy, rigid, transoral; guide wire insertion 43217 Esophagoscopy, flexible, transoral; snare lesion removal 43243 Esophagogastroduodenoscopy, flexible, transoral; injection sclerosis of esophageal/ gastric varices
43197 Esophagoscopy, flexible, transnasal; diagnostic 43220 Esophagoscopy, flexible, transoral; balloon dilation (less than 30mm diameter) 43245 Esophagogastroduodenoscopy, flexible, transoral; dilation of gastric/duodenal stricture(s)
43198 Esophagoscopy, flexible, transnasal; with biopsy 43226 Esophagoscopy, flexible, transoral; guide wire insertion, passage of dilator(s) over guide wire 43248 Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire rather than Esophagogastroduodenoscopy, flexible, transoral; guide wire insertion
43200 Esophagoscopy, flexible, transoral; diagnostic includes brushing or washing when performed 43227 Esophagoscopy, flexible, transoral; control of bleeding, any method 43249 Esophagogastroduodenoscopy, flexible, transoral; transendoscopic balloon dilation of esophagus (
43201 Esophagoscopy, flexible, transoral; directed submucosal injection(s) 43229 Esophagoscopy, flexible, transoral; ablation of tumor(s), polyp(s) or other lesion(s) 43250 Esophagogastroduodenoscopy, flexible, transoral; removal of tumor(s), polyp(s) or other lesion(s) by hot biopsy or bipolar cautery
43202 Esophagoscopy, flexible, transoral; biopsy, single or multiple 43231 Esophagoscopy, flexible, transoral; EUS 43251 Esophagogastroduodenoscopy, flexible, transoral; snare lesion removal
43204 Esophagoscopy, flexible, transoral; injection sclerosis, varices 43232 Esophagoscopy, flexible, transoral; with US-guided FNA 43252 Esophagogastroduodenoscopy, flexible, transoral; optical endomicroscopy
43205 Esophagoscopy, flexible, transoral; band ligation, varices 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic includes brushing or washing when performed 43253 Ultrasound-Guided Injections / Placement of Fiducial Markers
43206 Esophagoscopy, flexible, transoral; optical endomicroscopy 43236 Esophagogastroduodenoscopy, flexible, transoral; directed submucosal injection 43254 Endoscopic Mucosal Resection
43211 Esophagoscopy, flexible, transoral; EMR (endoscopic mucosal resection) 43237 Esophagogastroduodenoscopy, flexible, transoral; EUS limited to esophagus, stomach OR duodenum 43255 Esophagogastroduodenoscopy, flexible, transoral; control of bleeding, any method
43257 Esophagogastroduodenoscopy, flexible, transoral; thermal energy to LES and/or cardia, for GERD 43260 Endoscopic retrograde cholangiopancreatography (ERCP); iagnostic 43262 Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy
43259 Esophagogastroduodenoscopy, flexible, transoral; EUS of esophagus, stomach AND duodenum 43261 Endoscopic retrograde cholangiopancreatography (ERCP); biopsy 43264 Endoscopic retrograde cholangiopancreatography (ERCP); remove duct calculi/debris
43265 Endoscopic retrograde cholangiopancreatography (ERCP); destruction of calculi; any method 43270 Esophagogastroduodenoscopy, flexible, transoral; ablation of tumor(s), polyp(s) or other lesion(s) 43275 Endoscopic retrograde cholangiopancreatography (ERCP); foreign body or stent removal
43266 Esophagogastroduodenoscopy, flexible, transoral; stent placement 43274 Endoscopic retrograde cholangiopancreatography (ERCP); stent placement, each stent 43276 Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), each stent exchanged
43277 Endoscopic retrograde cholangiopancreatography (ERCP); with balloon dilation, each duct/ampulla dilated 43278 Endoscopic retrograde cholangiopancreatography (ERCP); with ablation
ICD CODES
ICD-10DescriptionICD-10DescriptionICD-10Description
K00Disorders of tooth development and eruptionK22Other diseases of oesophagusK62.9Disease of anus and rectum, unspecified
K00.0AnodontiaK22.0Achalasia of cardiaK63Other diseases of intestine
K00.1Supernumerary teethK22.1Ulcer of oesophagusK63.0Abscess of intestine
K00.2Abnormalities of size and form of teethK22.2Oesophageal obstructionK63.1Perforation of intestine nontraumatic
K00.3Mottled teethK22.3Perforation of oesophagusK63.2Fistula of intestine
K00.4Disturbances in tooth formationK22.4Dyskinesia of oesophagusK63.3Ulcer of intestine
K00.5Hereditary disturbances in tooth structure, not elsewhere classifiedK22.5Diverticulum of oesophagus, acquiredK63.4Enteroptosis
K00.6Disturbances in tooth eruptionK22.6Gastro-oesophageal laceration-haemorrhage syndromeK63.5Polyp of colon
K00.7Teething syndromeK22.7Barrett’s oesophagusK63.8Other specified diseases of intestine
K00.8Other disorders of tooth developmentK22.8Other specified diseases of oesophagusK63.9Disease of intestine, unspecified
K00.9Disorder of tooth development, unspecifiedK22.9Disease of oesophagus, unspecifiedK65Peritonitis
K01Embedded and impacted teethK23Disorders of oesophagus in diseases classified elsewhereK66Other disorders of peritoneum
K01.0Embedded teethK25Gastric ulcerK66.0Peritoneal adhesions
K01.1Impacted teethK26Duodenal ulcerK66.1Haemoperitoneum
K02Dental cariesK27Peptic ulcer, site unspecifiedK66.8Other specified disorders of peritoneum
K02.0Caries limited to enamelK28Gastrojejunal ulcerK66.9Disorder of peritoneum, unspecified
K02.1Caries of dentineK29Gastritis and duodenitisK67Disorders of peritoneum in infectious diseases classified elsewhere
K02.2Caries of cementumK29.0Acute haemorrhagic gastritisK70Alcoholic liver disease
K02.3Arrested dental cariesK29.1Other acute gastritisK70.0Alcoholic fatty liver
K02.4OdontoclasiaK29.2Alcoholic gastritisK70.1Alcoholic hepatitis
K02.8Other dental cariesK29.3Chronic superficial gastritisK70.2Alcoholic fibrosis and sclerosis of liver
K02.9Dental caries, unspecifiedK29.4Chronic atrophic gastritisK70.3Alcoholic cirrhosis of liver
K03Other diseases of hard tissues of teethK29.5Chronic gastritis, unspecifiedK70.4Alcoholic hepatic failure
K03.0Excessive attrition of teethK29.6Other gastritisK70.9Alcoholic liver disease, unspecified
K03.1Abrasion of teethK29.7Gastritis, unspecifiedK71Toxic liver disease
K03.2Erosion of teethK29.8DuodenitisK71.0Toxic liver disease with cholestasis
K03.3Pathological resorption of teethK29.9Gastroduodenitis, unspecifiedK71.1Toxic liver disease with hepatic necrosis
K03.4HypercementosisK30DyspepsiaK71.2Toxic liver disease with acute hepatitis
K03.5Ankylosis of teethK31Other diseases of stomach and duodenumK71.3Toxic liver disease with chronic persistent hepatitis
K03.6Deposits accretions on teethK31.0Acute dilatation of stomachK71.4Toxic liver disease with chronic lobular hepatitis
K03.7Posteruptive colour changes of dental hard tissuesK31.1Adult hypertrophic pyloric stenosisK71.5Toxic liver disease with chronic active hepatitis
K03.8Other specified diseases of hard tissues of teethK31.2Hourglass stricture and stenosis of stomachK71.6Toxic liver disease with hepatitis, not elsewhere classified
K03.9Disease of hard tissues of teeth, unspecifiedK31.3Pylorospasm, not elsewhere classifiedK71.7Toxic liver disease with fibrosis and cirrhosis of liver
K04Diseases of pulp and periapical tissuesK31.4Gastric diverticulumK71.8Toxic liver disease with other disorders of liver
K04.0PulpitisK31.5Obstruction of duodenumK71.9 Toxic liver disease, unspecified
K04.1Necrosis of pulpK31.6 Fistula of stomach and duodenumK72Hepatic failure, not elsewhere classified
K04.2Pulp degenerationK31.7Polyp of stomach and duodenumK73Chronic hepatitis, not elsewhere classified
K04.3Abnormal hard tissue formation in pulpK31.8Other specified diseases of stomach and duodenumK74Fibrosis and cirrhosis of liver
K04.4Acute apical periodontitis of pulpal originK31.9Disease of stomach and duodenum, unspecifiedK74.0Hepatic fibrosis
K04.5Chronic apical periodontitisK35Acute appendicitisK74.1Hepatic sclerosis
K04.6Periapical abscess with sinusK35.0Acute appendicitis with generalized peritonitisK74.2Hepatic fibrosis with hepatic sclerosis
K04.7Periapical abscess without sinusK35.1Acute appendicitis with peritoneal abscessK74.3Primary biliary cirrhosis
K04.8 Radicular cystK35.9Acute appendicitis, unspecifiedK74.4Secondary biliary cirrhosis
K04.9Other and unspecified diseases of pulp and periapical tissuesK36Other appendicitisK74.5Biliary cirrhosis, unspecified
K05Gingivitis and periodontal diseasesK37Unspecified appendicitisK74.6Other and unspecified cirrhosis of liver
K05.0Acute gingivitisK38Other diseases of appendixK75Other inflammatory liver diseases
K05.1Chronic gingivitisK38.0Hyperplasia of appendixK75.0Abscess of liver
K05.2Acute periodontitisK38.1Appendicular concretionsK75.1Phlebitis of portal vein
K05.3Chronic periodontitisK38.2Diverticulum of appendixK75.2Nonspecific reactive hepatitis
K05.4PeriodontosisK38.3Fistula of appendixK75.3Granulomatous hepatitis, not elsewhere classified
K05.5Other periodontal diseasesK38.8Other specified diseases of appendixK75.4Autoimmune hepatitis
K05.6Periodontal disease, unspecifiedK38.9Disease of appendix, unspecifiedK75.8Other specified inflammatory liver diseases
K06Other disorders of gingiva and edentulous alveolar ridgeK50Crohn’s disease regional enteritisK75.9 Inflammatory liver disease, unspecified
K06.0Gingival recessionK50.0Crohn’s disease of small intestineK76Other diseases of liver
K06.1Gingival enlargementK50.1Crohn’s disease of large intestineK76.0Fatty change of liver, not elsewhere classified
K06.2Gingival and edentulous alveolar ridge lesions associated with traumaK50.8Other Crohn’s diseaseK76.1Chronic passive congestion of liver
K06.8Other specified disorders of gingiva and edentulous alveolar ridgeK50.9Crohn’s disease, unspecifiedK76.2Central haemorrhagic necrosis of liver
K06.9Disorder of gingiva and edentulous alveolar ridge, unspecifiedK51Ulcerative colitisK76.3Infarction of liver
K07Dentofacial anomalies including malocclusionK51.0Ulcerative chronic enterocolitisK76.4Peliosis hepatis
K07.0Major anomalies of jaw sizeK51.1Ulcerative chronic ileocolitisK76.5Hepatic veno-occlusive disease
K07.1Anomalies of jaw-cranial base relationshipK51.2Ulcerative chronic proctitisK76.6 Portal hypertension
K07.2Anomalies of dental arch relationshipK51.3Ulcerative chronic rectosigmoiditisK76.7Hepatorenal syndrome
K07.3Anomalies of tooth positionK51.4Pseudopolyposis of colonK76.8Other specified diseases of liver
K07.4Malocclusion, unspecifiedK51.5Mucosal proctocolitisK76.9Liver disease, unspecified
K07.5Dentofacial functional abnormalitiesK51.8Other ulcerative colitisK77Liver disorders in diseases classified elsewhere
K07.6Temporomandibular joint disordersK51.9Ulcerative colitis, unspecifiedK80Cholelithiasis
K07.8Other dentofacial anomaliesK52Other noninfective gastroenteritis and colitisK80.0Calculus of gallbladder with acute cholecystitis
K07.9Dentofacial anomaly, unspecifiedK52.0Gastroenteritis and colitis due to radiationK80.1Calculus of gallbladder with other cholecystitis
K08Other disorders of teeth and supporting structuresK52.1Toxic gastroenteritis and colitisK80.2Calculus of gallbladder without cholecystitis
K08.0Exfoliation of teeth due to systemic causesK52.2Allergic and dietetic gastroenteritis and colitisK80.3Calculus of bile duct with cholangitis
K08.1Loss of teeth due to accident, extraction or local periodontal diseaseK52.8Other specified noninfective gastroenteritis and colitisK80.4Calculus of bile duct with cholecystitis
K08.2Atrophy of edentulous alveolar ridgeK52.9Noninfective gastroenteritis and colitis, unspecifiedK80.5Calculus of bile duct without cholangitis or cholecystitis
K08.3Retained dental rootK55Vascular disorders of intestineK80.8Other cholelithiasis
K08.8Other specified disorders of teeth and supporting structuresK55.0Acute vascular disorders of intestineK81Cholecystitis
K08.9Disorder of teeth and supporting structures, unspecifiedK55.1Chronic vascular disorders of intestineK82Other diseases of gallbladder
K09Cysts of oral region, not elsewhere classifiedK55.2Angiodysplasia of colonK82.0Obstruction of gallbladder
K09.0Developmental odontogenic cystsK55.8Other vascular disorders of intestineK82.1Hydrops of gallbladder
K09.1Developmental nonodontogenic cysts of oral regionK55.9Vascular disorder of intestine, unspecifiedK82.2Perforation of gallbladder
K09.2Other cysts of jawK56Paralytic ileus and intestinal obstruction without herniaK82.3Fistula of gallbladder
K09.8Other cysts of oral region, not elsewhere classifiedK56.0Paralytic ileusK82.4Cholesterolosis of gallbladder
K09.9Cyst of oral region, unspecifiedK56.1IntussusceptionK82.8Other specified diseases of gallbladder
K10Other diseases of jawsK56.2VolvulusK82.9Disease of gallbladder, unspecified
K10.0Developmental disorders of jawsK56.3Gallstone ileusK83Other diseases of biliary tract
K10.1Giant cell granuloma, centralK56.4Other impaction of intestineK83.0Cholangitis
K10.2Inflammatory conditions of jawsK56.5Intestinal adhesions bands with obstructionK83.1Obstruction of bile duct
K10.3Alveolitis of jawsK56.6Other and unspecified intestinal obstructionK83.2Perforation of bile duct
K10.8Other specified diseases of jawsK56.7Ileus, unspecifiedK83.3 Fistula of bile duct
K10.9Disease of jaws, unspecifiedK57Diverticular disease of intestineK83.4Spasm of sphincter of Oddi
K11Diseases of salivary glandsK57.0Diverticular disease of small intestine with perforation and abscessK83.5Biliary cyst
K11.0Atrophy of salivary glandK57.1Diverticular disease of small intestine without perforation or abscessK83.8Other specified diseases of biliary tract
K11.1Hypertrophy of salivary glandK57.2Diverticular disease of large intestine with perforation and abscessK83.9Disease of biliary tract, unspecified
K11.2SialadenitisK57.3Diverticular disease of large intestine without perforation or abscessK85Acute pancreatitis
K11.3Abscess of salivary glandK57.4Diverticular disease of both small and large intestine with perforation and abscessK86Other diseases of pancreas
K11.4Fistula of salivary glandK57.5Diverticular disease of both small and large intestine without perforation or abscessK86.0Alcohol-induced chronic pancreatitis
K11.5SialolithiasisK57.8Diverticular disease of intestine, part unspecified, with perforation and abscessK86.1Other chronic pancreatitis
K11.6Mucocele of salivary glandK57.9Diverticular disease of intestine, part unspecified, without perforation or abscessK86.2Cyst of pancreas
K11.7Disturbances of salivary secretionK58Irritable bowel syndromeK86.3Pseudocyst of pancreas
K11.8Other diseases of salivary glandsK59Other functional intestinal disordersK86.8Other specified diseases of pancreas
K11.9Disease of salivary gland, unspecifiedK59.0ConstipationK86.9Disease of pancreas, unspecified
K12Stomatitis and related lesionsK59.1Functional diarrhoeaK87Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere
K12.0Recurrent oral aphthaeK59.2Neurogenic bowel, not elsewhere classifiedK90Intestinal malabsorption
K12.1Other forms of stomatitisK59.3Megacolon, not elsewhere classifiedK90.0Coeliac disease
K12.2Cellulitis and abscess of mouthK59.4Anal spasmK90.1Tropical sprue
K13Other diseases of lip and oral mucosaK59.8Other specified functional intestinal disordersK90.2Blind loop syndrome, not elsewhere classified
K13.0Diseases of lipsK59.9Functional intestinal disorder, unspecifiedK90.3Pancreatic steatorrhoea
K13.1Cheek and lip bitingK60Fissure and fistula of anal and rectal regionsK90.4Malabsorption due to intolerance, not elsewhere classified
K13.2Leukoplakia and other disturbances of oral epithelium, including tongueK60.0Acute anal fissureK90.8Other intestinal malabsorption
K13.3Hairy leukoplakiaK60.1Chronic anal fissureK90.9Intestinal malabsorption, unspecified
K13.4Granuloma and granuloma-like lesions of oral mucosaK60.2Anal fissure, unspecifiedK91Postprocedural disorders of digestive system, not elsewhere classified
K13.5Oral submucous fibrosisK60.3Anal fistulaK91.0Vomiting following gastrointestinal surgery
K13.6Irritative hyperplasia of oral mucosaK60.4Rectal fistulaK91.1Postgastric surgery syndromes
K13.7Other and unspecified lesions of oral mucosaK60.5Anorectal fistulaK91.2Postsurgical malabsorption, not elsewhere classified
K14Diseases of tongueK61Abscess of anal and rectal regionsK91.3Postoperative intestinal obstruction
K14.0GlossitisK61.0Anal abscessK91.4Colostomy and enterostomy malfunction
K14.1Geographic tongueK62Other diseases of anus and rectumK91.5 Postcholecystectomy syndrome
K14.2Median rhomboid glossitisK62.0Anal polypK91.8Other postprocedural disorders of digestive system, not elsewhere classified
K14.3Hypertrophy of tongue papillaeK62.1Rectal polypK91.9Postprocedural disorder of digestive system, unspecified
K14.4Atrophy of tongue papillaeK62.2Anal prolapseK92Other diseases of digestive system
K14.5Plicated tongueK62.3Rectal prolapseK92.0Haematemesis
K14.6GlossodyniaK62.4Stenosis of anus and rectumK92.1Melaena
K14.8Other diseases of tongueK62.5Haemorrhage of anus and rectumK92.2Gastrointestinal haemorrhage, unspecified
K14.9Disease of tongue, unspecifiedK62.6Ulcer of anus and rectumK92.8Other specified diseases of digestive system
K20esophagitisK62.7Radiation proctitisK92.9Disease of digestive system, unspecified
K21Gastro-oesophageal reflux diseaseK62.8Other specified diseases of anus and rectumK93Disorders of other digestive organs in diseases classified elsewhere
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