How To Use CPT Code 0654T

CPT 0654T describes a specific procedure used for diagnostic purposes in the gastrointestinal tract. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of CPT code 0654T.

1. What is CPT Code 0654T?

CPT 0654T is a code that represents a specific procedure used for diagnostic purposes in the gastrointestinal tract. This code is specifically used for esophagogastroduodenoscopy (EGD) performed through the nose. It involves the insertion of an endoscope into the esophagus, stomach, and duodenum, along with the insertion of an intraluminal tube or catheter in the gastrointestinal tract.

2. Official Description

The official description of CPT code 0654T is: ‘Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter.’ It is important to note that this code is specifically for transnasal EGD procedures and should not be confused with other types of esophagoscopy or endoscopy procedures.

3. Procedure

1. The healthcare provider prepares the patient for the procedure.
2. An endoscope is inserted through the nose and passed into the esophagus, stomach, and duodenum.
3. The provider inspects the structures of the gastrointestinal tract using the lighted tube of the endoscope.
4. An intraluminal tube or catheter, such as a feeding or draining tube, is inserted into the lumen of the esophagus and into the stomach or duodenum.
5. Once the procedure is complete, the endoscope is withdrawn.

4. Qualifying circumstances

CPT code 0654T is used for diagnostic transnasal EGD procedures with the insertion of an intraluminal tube or catheter. It is important to note that this code is not used for other types of esophagoscopy or endoscopy procedures. The procedure must be performed by a qualified healthcare provider and is typically used for diagnostic purposes to assess the structures of the gastrointestinal tract.

5. When to use CPT code 0654T

CPT code 0654T should be used when a transnasal EGD procedure is performed with the insertion of an intraluminal tube or catheter. This code is specific to the transnasal approach and should not be used for other types of esophagoscopy or endoscopy procedures. It is important to review the documentation and ensure that the procedure meets the criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT code 0654T, the healthcare provider must document the following information:

• Reason for the procedure and the need for diagnostic evaluation
• Details of the transnasal EGD procedure, including the insertion of an intraluminal tube or catheter
• Date and time of the procedure
• Findings and observations during the procedure
• Any additional procedures or interventions performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 0654T, ensure that the procedure meets the criteria outlined in the code description. It is important to use the appropriate code for the specific procedure performed and to avoid confusion with other esophagoscopy or endoscopy procedures. Review the documentation requirements and ensure that all necessary information is included in the claim.

8. Historical information

CPT code 0654T was added to the Current Procedural Terminology system on July 1, 2021. As a Category III code, it is a temporary code used to collect information about the use and efficacy of investigational technologies and procedures. It is important to note that the inclusion of a Category III code does not imply agreement concerning the efficacy, safety, or appropriateness of the procedure.

9. Examples

1. A gastroenterologist performing a transnasal EGD with the insertion of an intraluminal tube for diagnostic evaluation of a patient with suspected gastrointestinal bleeding.
2. A physician inserting an endoscope through the nose and into the gastrointestinal tract to assess the structures and insert a feeding tube for a patient with difficulty swallowing.
3. A surgeon performing a transnasal EGD with the insertion of an intraluminal catheter to evaluate the extent of a tumor in the esophagus.
4. A gastroenterologist using a transnasal EGD procedure with the insertion of an intraluminal tube to assess the effectiveness of previous treatment for gastroesophageal reflux disease.
5. A healthcare provider performing a transnasal EGD with the insertion of an intraluminal catheter to evaluate the presence of ulcers in the stomach and duodenum.
6. A gastroenterologist using a transnasal EGD procedure with the insertion of an intraluminal tube to assess the effectiveness of medication for a patient with chronic gastritis.
7. A physician inserting an endoscope through the nose and into the gastrointestinal tract to evaluate the presence of strictures and insert a dilating tube for a patient with esophageal narrowing.
8. A surgeon performing a transnasal EGD with the insertion of an intraluminal catheter to assess the effectiveness of previous surgical intervention for a patient with gastric cancer.
9. A gastroenterologist using a transnasal EGD procedure with the insertion of an intraluminal tube to evaluate the presence of polyps in the colon and rectum.
10. A healthcare provider performing a transnasal EGD with the insertion of an intraluminal catheter to assess the effectiveness of treatment for a patient with Crohn’s disease.