0126-Endoscopy Procedures Diagnostic and Surgical Same Day
Surgical endoscopy includes diagnostic endoscopy. A diagnostic endoscopy HCPCS/CPT code shall not be reported with a surgical endoscopy code. If multiple endoscopic services are performed, the most comprehensive code describing the service(s) rendered shall be reported.
Applicable Policy References
Social Security Act: Section 1833(e)
CMS Pub. 100-04, Medicare Claims Processing Manual, Chapter 12, Section 30 (E), (G), and (H)
AMA CPT Manual Endoscopy Section; 2015 to current
National Correct Coding Initiative Policy Manual for Medicare Services, Chapter VI, Section C