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Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56389
Policy Summary
This policy provides billing and coding guidance that complements Local Coverage Determination L34434 for upper gastrointestinal endoscopy and visualization. It specifies that any unlisted procedure codes billed for these services are subject to development and medical review and must be supported by adequate medical documentation per the LCD.
Coverage Criteria Preview
Key requirements from the full policy
"All unlisted procedure codes billed for upper gastrointestinal endoscopy and visualization services are subject to development and medical review."
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