Code Details & Principles for G4520
Code details & principles for
G4520
- Chapter 10 / Endoscopic GIT Procedures
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| G4520 | Diagnostic enteroscopy | 10.0.0 Endoscopic GIT Procedures |
Unacceptable Combinations for G4520
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| G1900 | Rigid oesophagoscopy (including biopsy, laser or diathermy destruction of lesions) | 2011-11-04 |
| G4410 | Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion of prosthesis | 2014-08-06 |
| G4430 | Therapeutic oesophago-gastro-duodenoscopy (OGD) with dilatation | 2011-09-05 |
| G4440 | Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion percutaneous endoscopic gastrostomy/percutaneous endoscopic jejunostomy | 2010-01-20 |
| G4480 | Therapeutic enteroscopy | 2010-01-20 |
| G4680 | Endoscopic mucosal resection (upper gastrointestinal tract) | 2013-02-13 |
| G4690 | Endoscopic submucosal dissection of gastric lesions | 2013-01-12 |
| G5050 | Endoscopic submucosal dissection of duodenal lesions | 2013-01-12 |
| G6500 | Diagnostic oesophago-gastro-duodenoscopy (OGD) includes forceps biopsy, biopsy urease test and dye spray | 2014-04-25 |
| G7900 | Ileoscopy via stoma with therapy | 2010-01-20 |
| G8082 | Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | 2010-01-20 |
| G8083 | Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | 2010-01-20 |
| H1200 | Excision of lesion of colon (transabdominal) | 2010-01-20 |
| H2001 | Double Balloon Enteroscopy | 2011-03-11 |
| H4430 | Examination of rectum under anaesthetic (as sole procedure) | 2013-06-03 |
Coding Principles
These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:
- The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
- The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
- The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information