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Home , Anoscopy, Argon plasma coagulation, Colonoscopy, Enteroscopy, Fecal pH test

SJH Procedures - Service New Name Old Name CPT Code Service ANOSCOPY 0377T Anoscopy with directed submucosal injection of bulking agent Gastroenterology, Colorectal for fecal incontinence 46600 Anoscopy; diagnostic, including collection of specimen(s) by Gastroenterology, Colorectal brushing or washing, when performed (separate procedure) 46601 Anoscopy; diagnostic, with high-resolution magnification (HRA) Gastroenterology, Colorectal (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performed 46604 Anoscopy; with dilation (eg, balloon, guide wire, bougie) Gastroenterology, Colorectal 46606 Anoscopy; with , single or multiple Gastroenterology, Colorectal 46607 Anoscopy; with high-resolution magnification (HRA) (eg, Gastroenterology, Colorectal colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple 46608 Anoscopy; with removal of foreign body Gastroenterology, Colorectal 46610 Anoscopy; with removal of single tumor, , or other lesion Gastroenterology, Colorectal by hot biopsy forceps or bipolar cautery 46611 Anoscopy; with removal of single tumor, polyp, or other lesion Gastroenterology, Colorectal by snare technique 46612 Anoscopy; with removal of multiple tumors, polyps, or other Gastroenterology, Colorectal lesions by hot biopsy forceps, bipolar cautery or snare technique 46614 Anoscopy; with control of bleeding (eg, injection, bipolar Gastroenterology, Colorectal cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) 46615 Anoscopy; with ablation of tumor(s), polyp(s), or other Gastroenterology, Colorectal lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique BLOCK, CELIAC PLEXUS, WITH ENDOSCOPIC ULTRASOUND (US) GUIDANCE CELIAC PLEXUS BLOCK ENDOSCOPIC ULTRASOUND W 43253 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of COLONOSCOPY W ANESTHESIA 44388 Colonoscopy through stoma; diagnostic, including collection of Gastroenterology, Colorectal, specimen(s) by brushing or washing, when performed General (separate procedure) COLONOSCOPY AND WITH ANESTHESIA 44388 Colonoscopy through stoma; diagnostic, including collection of Gastroenterology, Colorectal specimen(s) by brushing or washing, when performed (separate procedure) COLONOSCOPY W ANESTHESIA 44389 Colonoscopy through stoma; with biopsy, single or multiple Gastroenterology, Colorectal, General 44390 Colonoscopy through stoma; with removal of foreign body(s) Gastroenterology, Colorectal, General 44391 Colonoscopy through stoma; with control of bleeding, any Gastroenterology, Colorectal, method General 44392 Colonoscopy through stoma; with removal of tumor(s), Gastroenterology, Colorectal, polyp(s), or other lesion(s) by hot biopsy forceps General 44394 Colonoscopy through stoma; with removal of tumor(s), Gastroenterology, Colorectal, polyp(s), or other lesion(s) by snare technique General

Page 1 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service COLONOSCOPY COLONOSCOPY W ANESTHESIA 44401 Colonoscopy through stoma; with ablation of tumor(s), Gastroenterology, Colorectal, polyp(s), or other lesion(s) (includes pre-and post-dilation and General guide wire passage, when performed) 44402 Colonoscopy through stoma; with endoscopic placement Gastroenterology, Colorectal, (including pre- and post-dilation and guide wire passage, when General performed) 44403 Colonoscopy through stoma; with endoscopic mucosal Gastroenterology, Colorectal, resection General 44404 Colonoscopy through stoma; with directed submucosal Gastroenterology, Colorectal, injection(s), any substance General 44406 Colonoscopy through stoma; with endoscopic ultrasound Gastroenterology, Colorectal, examination, limited to the sigmoid, descending, transverse, or General ascending colon and and adjacent structures 44407 Colonoscopy through stoma; with transendoscopic ultrasound Gastroenterology, Colorectal, guided intramural or transmural fine needle General aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjace 44408 Colonoscopy through stoma; with decompression (for Gastroenterology, Colorectal, pathologic distention) (eg, volvulus, ), including General placement of decompression tube, when performed COLONOSCOPY AND ENDOSCOPY WITH ANESTHESIA 45378 Colonoscopy, flexible; diagnostic, including collection of Gastroenterology, Colorectal specimen(s) by brushing or washing, when performed (separate procedure) COLONOSCOPY W ANESTHESIA 45378 Colonoscopy, flexible; diagnostic, including collection of Gastroenterology, Colorectal, specimen(s) by brushing or washing, when performed General (separate procedure) 45379 Colonoscopy, flexible; with removal of foreign body(s) Gastroenterology, Colorectal, General 45380 Colonoscopy, flexible; with biopsy, single or multiple Gastroenterology, Colorectal, General 45381 Colonoscopy, flexible; with directed submucosal injection(s), Gastroenterology, Colorectal, any substance General 45382 Colonoscopy, flexible; with control of bleeding, any method Gastroenterology, Colorectal, General 45384 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) by hot biopsy forceps General 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) by snare technique General 45386 Colonoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, Colorectal, General 45388 Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) (includes pre- and post-dilation and guide wire General passage, when performed) 45389 Colonoscopy, flexible; with endoscopic stent placement Gastroenterology, Colorectal, (includes pre- and post-dilation and guide wire passage, when General performed)

Page 2 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service COLONOSCOPY COLONOSCOPY W ANESTHESIA 45390 Colonoscopy, flexible; with endoscopic mucosal resection Gastroenterology, Colorectal, General 45391 Colonoscopy, flexible; with endoscopic ultrasound examination Gastroenterology, Colorectal, limited to the , sigmoid, descending, transverse, or General ascending colon and cecum, and adjacent structures 45392 Colonoscopy, flexible; with transendoscopic ultrasound guided Gastroenterology, Colorectal, intramural or transmural fine needle aspiration/biopsy(s), General includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a 45393 Colonoscopy, flexible; with decompression (for pathologic Gastroenterology, Colorectal, distention) (eg, volvulus, megacolon), including placement of General decompression tube, when performed 45398 Colonoscopy, flexible; with band ligation(s) (eg, ) Gastroenterology, Colorectal, General COLONOSCOPY PEDIATRIC WITH ANESTHESIA Gastroenterology, Colorectal COLONOSCOPY W BALLOON DILATATION Gastroenterology, Colorectal COLONOSCOPY W ENDOSCOPY Colorectal, General, Gastroenterology COLONOSCOPY W FORMALIN TREATMENT Gastroenterology, Colorectal COLONOSCOPY W FORMALIN TREATMENT NO SCOPE Gastroenterology, Colorectal COLONOSCOPY, IN NON- SETTING COLONOSCOPY AND ENDOSCOPY WITH ANESTHESIA 44388 Colonoscopy through stoma; diagnostic, including collection of Gastroenterology, Colorectal specimen(s) by brushing or washing, when performed (separate procedure) COLONOSCOPY ROAD TRIP 44388 Colonoscopy through stoma; diagnostic, including collection of Gastroenterology, Colorectal specimen(s) by brushing or washing, when performed (separate procedure) 45378 Colonoscopy, flexible; diagnostic, including collection of Gastroenterology, Colorectal specimen(s) by brushing or washing, when performed (separate procedure) COLONOSCOPY AND ENDOSCOPY WITH ANESTHESIA 45378 Colonoscopy, flexible; diagnostic, including collection of Gastroenterology, Colorectal specimen(s) by brushing or washing, when performed (separate procedure) COLONOSCOPY, USING , WITH Gastroenterology, Colorectal FLUOROSCOPIC GUIDANCE COLONOSCOPY, WITH ANAL REGION BOTOX INJECTION Gastroenterology, Colorectal COLONOSCOPY, WITH ANAL BOTOX INJECTION Gastroenterology, Colorectal COLONOSCOPY, WITH ARGON PLASMA COAGULATION COLONOSCOPY WITH ARGON PLASMA COAGULATOR WITH ANESTHESIA 44391 Colonoscopy through stoma; with control of bleeding, any Gastroenterology, Colorectal method 44401 Colonoscopy through stoma; with ablation of tumor(s), Gastroenterology, (s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) 45382 Colonoscopy, flexible; with control of bleeding, any method Gastroenterology, Colorectal 45388 Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or Gastroenterology, Colorectal other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)

Page 3 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service COLONOSCOPY, WITH COLONIC STENT INSERTION COLONOSCOPY WITH STENT PLACEMENT 44402 Colonoscopy through stoma; with endoscopic stent placement Gastroenterology, Colorectal (including pre- and post-dilation and guide wire passage, when performed) 45389 Colonoscopy, flexible; with endoscopic stent placement Gastroenterology, Colorectal (includes pre- and post-dilation and guide wire passage, when performed) COLONOSCOPY, WITH ENDOSCOPIC ULTRASOUND (US) Colorectal, Gastroenterology COLONOSCOPY, WITH FRESH FECAL MICROBIOTA TRANSFER COLONOSCOPY WITH FRESH DONOR FECAL TRANSPLANTATION W 44705 Preparation of fecal microbiota for instillation, including Gastroenterology ANESTHESIA assessment of donor specimen 45378 Colonoscopy, flexible; diagnostic, including collection of Gastroenterology specimen(s) by brushing or washing, when performed (separate procedure) COLONOSCOPY, WITH FROZEN FECAL MICROBIOTA TRANSFER COLONOSCOPY WITH FROZEN DONOR FECAL TRANSPLANTATION W 44705 Preparation of fecal microbiota for instillation, including Gastroenterology ANESTHESIA assessment of donor specimen 45378 Colonoscopy, flexible; diagnostic, including collection of Gastroenterology specimen(s) by brushing or washing, when performed (separate procedure) COLONOSCOPY, WITH BANDING COLONOSOCOPY W HEMORRHOID BANDING 45398 Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Gastroenterology, Colorectal COLONOSCOPY, WITH RADIATION TREATMENT USING COLONOSCOPY W RFA OF W ANESTHESIA 45382 Colonoscopy, flexible; with control of bleeding, any method Gastroenterology RADIOFREQUENCY ABLATION 45388 Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or Gastroenterology other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) COLONOSCOPY, WITH STENT INSERTION COLONOSCOPY WITH INSERTION STENT WITH ANESTHESIA 44402 Colonoscopy through stoma; with endoscopic stent placement Gastroenterology, Colorectal (including pre- and post-dilation and guide wire passage, when performed) 45389 Colonoscopy, flexible; with endoscopic stent placement Gastroenterology, Colorectal (includes pre- and post-dilation and guide wire passage, when performed) COLONOSCOPY, WITH STRICTURE DILATION COLONOSCOPY WITH DILATATION 44405 Colonoscopy through stoma; with transendoscopic balloon Gastroenterology, Colorectal dilation COLONOSCOPY ENDOSCOPY W DILATATION 44405 Colonoscopy through stoma; with transendoscopic balloon Gastroenterology, Colorectal dilation COLONOSCOPY ENDOSCOPY W DILATATION AND ANESTHESIA 44405 Colonoscopy through stoma; with transendoscopic balloon Gastroenterology, Colorectal dilation COLONOSCOPY ENDOSCOPY W DILATATION 45386 Colonoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, Colorectal COLONOSCOPY WITH DILATATION 45386 Colonoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, Colorectal COLONOSCOPY ENDOSCOPY W DILATATION AND ANESTHESIA 45386 Colonoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, Colorectal CYSTOGASTROSTOMY, , WITH ENDOSCOPIC ULTRASOUND (US) CYSTOGASTROSTOMY PANCREATIC ENDO ULTRASOUND WITH 43240 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology GUIDANCE ANESTHESIA transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed) DECOMPRESSION, COLON COLON DECOMPRESSION 44408 Colonoscopy through stoma; with decompression (for Gastroenterology, Colorectal pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed 45321 Proctosigmoidoscopy, rigid; with decompression of volvulus Gastroenterology, Colorectal

Page 4 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service DECOMPRESSION, COLON COLON DECOMPRESSION 45337 , flexible; with decompression (for pathologic Gastroenterology, Colorectal distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed 45393 Colonoscopy, flexible; with decompression (for pathologic Gastroenterology, Colorectal distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed DILATION, ANAL SPHINCTER ANAL DILATATION W ANESTHESIA 45905 Dilation of anal sphincter (separate procedure) under Gastroenterology, Colorectal anesthesia other than local DILATION, , ENDOSCOPIC, WITH C-ARM FLUOROSCOPIC ENDOSCOPY W DILATATION AND C ARM 43212 Esophagoscopy, flexible, transoral; with placement of Gastroenterology GUIDANCE endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) 43213 Esophagoscopy, flexible, transoral; with dilation of esophagus, Gastroenterology by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) 43214 Esophagoscopy, flexible, transoral; with dilation of esophagus Gastroenterology with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) 43220 Esophagoscopy, flexible, transoral; with transendoscopic Gastroenterology balloon dilation (less than 30 mm diameter) 43226 Esophagoscopy, flexible, transoral; with insertion of guide wire Gastroenterology followed by passage of dilator(s) over guide wire DILATION, ESOPHAGUS, USING MALONEY BOUGIE, WITHOUT ENDOSCOPY ESOPHAGEAL DILATATION W MALONEY (NO ENDOSCOPY) 43450 Dilation of esophagus, by unguided sound or bougie, single or Gastroenterology, General, multiple passes ENT EDUCATION, PERCUTANEOUS ENDOSCOPIC (PEG) TUBE PERCUTANEOUS ENDOGASTROSTOMY TUBE TEACHING Gastroenterology, General, Colorectal ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) ENDO CHOLANGIOPANCREATOGRAM WITH ANESTHESIA 43260 Endoscopic retrograde cholangiopancreatography (ERCP); Gastroenterology diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) 43261 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology biopsy, single or multiple 43263 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology pressure measurement of sphincter of Oddi 43264 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology removal of calculi/debris from biliary/pancreatic duct(s) 43265 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology destruction of calculi, any method (eg, mechanical, electrohydraulic, ) 43274 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent 43275 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s)

Page 5 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) ENDO CHOLANGIOPANCREATOGRAM WITH ANESTHESIA 43276 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchang 43277 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct 43278 Endoscopic retrograde cholangiopancreatography (ERCP); with Gastroenterology ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), ERCP DONE IN OR 43260 Endoscopic retrograde cholangiopancreatography (ERCP); Gastroenterology INTRAOPERATIVE diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ENDOSCOPIC ULTRASOUND Gastroenterology ENDOSCOPY ENDOSCOPY W ANESTHESIA Gastroenterology, General ENDOSCOPY W 24H PH PROBE W ANESTHESIA Gastroenterology ENDOSCOPY, GASTROINTESTINAL (GI) TRACT, WITH ARGON PLASMA ENDOSCOPY WITH ARGON PLASMA COAGULATOR 43227 Esophagoscopy, flexible, transoral; with control of bleeding, Gastroenterology COAGULATION any method 43255 Esophagogastroduodenoscopy, flexible, transoral; with control Gastroenterology of bleeding, any method 44366 Small intestinal endoscopy, beyond second Gastroenterology portion of , not including ; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) 44378 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) 45334 Sigmoidoscopy, flexible; with control of bleeding, any method Gastroenterology 45382 Colonoscopy, flexible; with control of bleeding, any method Gastroenterology ENDOSCOPY, GASTROINTESTINAL (GI) TRACT, WITH DILATION ENDOSCOPY WITH DILATATION WITH ANESTHESIA 43213 Esophagoscopy, flexible, transoral; with dilation of esophagus, Gastroenterology, General by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) 43214 Esophagoscopy, flexible, transoral; with dilation of esophagus Gastroenterology, General with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) 43233 Esophagogastroduodenoscopy, flexible, transoral; with dilation Gastroenterology, General of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) 43245 Esophagogastroduodenoscopy, flexible, transoral; with dilation Gastroenterology, General of gastric/duodenal stricture(s) (eg, balloon, bougie) 43248 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology, General insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire

Page 6 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ENDOSCOPY, GASTROINTESTINAL (GI) TRACT, WITH DILATION ENDOSCOPY WITH DILATATION WITH ANESTHESIA 43249 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology, General transendoscopic balloon dilation of esophagus (less than 30 mm diameter) 45303 Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide Gastroenterology, General wire, bougie) 45340 Sigmoidoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, General 45386 Colonoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, General ENDOSCOPY, GASTROINTESTINAL (GI) TRACT, WITH FINE NEEDLE ENDOSCOPIC ULTRASOUND W FINE NEEDLE ASPIRATION W FIDUCIAL 10035 Placement of soft tissue localization device(s) (eg, clip, metallic Gastroenterology ASPIRATION, FIDUCIAL MARKER INSERTION, AND PATHOLOGICAL MARKER PLACEMENT W ANESTHESIA AND PATHOLOGY pellet, wire/needle, radioactive seeds), percutaneous, EXAMINATION including imaging guidance; first lesion 43238 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, or duodenum, and adjacent stru 43242 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgicall 45342 Sigmoidoscopy, flexible; with transendoscopic ultrasound Gastroenterology guided intramural or transmural fine needle aspiration/biopsy(s) 45392 Colonoscopy, flexible; with transendoscopic ultrasound guided Gastroenterology intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a ENDOSCOPY, GASTROINTESTINAL (GI) TRACT, WITH ENDOSCOPY W BOTOX INJECTION W ANESTHESIA 43236 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology ONABOTULINUMTOXINA INJECTION directed submucosal injection(s), any substance 45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), Gastroenterology any substance 45381 Colonoscopy, flexible; with directed submucosal injection(s), Gastroenterology any substance ENDOSCOPY, GASTROINTESTINAL (GI) TRACT, WITH STRICTURE DILATION ENDOSCOPY W DILATATION W ANESTHESIA 43245 Esophagogastroduodenoscopy, flexible, transoral; with dilation Gastroenterology, General of gastric/duodenal stricture(s) (eg, balloon, bougie) ENDOSCOPY, POUCH, INTESTINE ENDOSCOPY OF BOWEL POUCH W ANESTHESIA 44385 Endoscopic evaluation of small intestinal pouch (eg, kock Colorectal, Gastroenterology pouch, ileal reservoir [s or j]); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ENDOSCOPY, POUCH, INTESTINE, WITH MODERATE ENDOSCOPY OF BOWEL POUCH W MODERATE SEDATION 44385 Endoscopic evaluation of small intestinal pouch (eg, kock Colorectal, Gastroenterology pouch, ileal reservoir [s or j]); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ENDOSCOPY, UPPER GASTROINTESTINAL (GI) TRACT Gastroenterology ENDOSCOPY, UPPER GASTROINTESTINAL (GI) TRACT, IN NON-ENDOSCOPY ENDOSCOPY ROAD TRIP Gastroenterology UNIT SETTING Gastroenterology

Page 7 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ENDOSCOPY, UPPER GASTROINTESTINAL (GI) TRACT, USING ARGON Gastroenterology PLASMA COAGULATION ENDOSCOPY, UPPER GASTROINTESTINAL (GI) TRACT, USING ARGON Gastroenterology PLASMA COAGULATION, WITH FLUOROSCOPIC GUIDANCE ENDOSCOPY, UPPER GASTROINTESTINAL (GI) TRACT, WITH STENT ENDOSCOPY ESOPHAGEAL WALL STENT WITH ANESTHESIA 43266 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology INSERTION, WITH FLUOROSCOPIC GUIDANCE placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) 76000 Fluoroscopy (separate procedure), up to 1 hour physician or Gastroenterology other qualified health care professional time ENDOSCOPY, UPPER GASTROINTESTINAL (GI) TRACT. WITH STRICTURE Gastroenterology DILATION ENDOSCOPY, WITH ARGON PLASMA COAGULATION ENDOSCOPY WITH ARGON PLASMA COAGULATOR WITH ANESTHESIA 44366 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) 44378 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ENDOSCOPY, WITH DILATION ENDOSCOPY W DILATATION 0499T Cystourethroscopy, with mechanical dilation and urethral Gastroenterology, General therapeutic drug delivery for urethral stricture or stenosis, including fluoroscopy, when performed 31296 Nasal/sinus endoscopy, surgical; with dilation of frontal sinus Gastroenterology, General ostium (eg, balloon dilation) 31528 direct, with or without tracheoscopy; with Gastroenterology, General dilation, initial 31529 Laryngoscopy direct, with or without tracheoscopy; with Gastroenterology, General dilation, subsequent 31630 , rigid or flexible, including fluoroscopic Gastroenterology, General guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture 43195 Esophagoscopy, rigid, transoral; with balloon dilation (less than Gastroenterology, General 30 mm diameter) 43213 Esophagoscopy, flexible, transoral; with dilation of esophagus, Gastroenterology, General by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) 43214 Esophagoscopy, flexible, transoral; with dilation of esophagus Gastroenterology, General with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) 43220 Esophagoscopy, flexible, transoral; with transendoscopic Gastroenterology, General balloon dilation (less than 30 mm diameter) 43226 Esophagoscopy, flexible, transoral; with insertion of guide wire Gastroenterology, General followed by passage of dilator(s) over guide wire 43233 Esophagogastroduodenoscopy, flexible, transoral; with dilation Gastroenterology, General of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) 43245 Esophagogastroduodenoscopy, flexible, transoral; with dilation Gastroenterology, General of gastric/duodenal stricture(s) (eg, balloon, bougie)

Page 8 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ENDOSCOPY, WITH DILATION ENDOSCOPY W DILATATION 43248 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology, General insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire 43249 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology, General transendoscopic balloon dilation of esophagus (less than 30 mm diameter) 43450 Dilation of esophagus, by unguided sound or bougie, single or Gastroenterology, General multiple passes 44381 Ileoscopy, through stoma; with transendoscopic balloon Gastroenterology, General dilation 44405 Colonoscopy through stoma; with transendoscopic balloon Gastroenterology, General dilation 45340 Sigmoidoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, General 45386 Colonoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, General 52281 Cystourethroscopy, with calibration and/or dilation of urethral Gastroenterology, General stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female 52341 Cystourethroscopy; with treatment of ureteral stricture (eg, Gastroenterology, General balloon dilation, laser, electrocautery, and incision) 52344 Cystourethroscopy with ; with treatment of Gastroenterology, General ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) 74360 Intraluminal dilation of strictures and/or obstructions (eg, Gastroenterology, General esophagus), radiological supervision and interpretation ENDOSCOPY, WITH ONABOTULINUMTOXINA INJECTION ENDOSCOPY W BOTOX INJECTION 31570 Laryngoscopy, direct, with injection into vocal cord(s), Gastroenterology therapeutic; 43192 Esophagoscopy, rigid, transoral; with directed submucosal Gastroenterology injection(s), any substance 43201 Esophagoscopy, flexible, transoral; with directed submucosal Gastroenterology injection(s), any substance 43236 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology directed submucosal injection(s), any substance 44404 Colonoscopy through stoma; with directed submucosal Gastroenterology injection(s), any substance 45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), Gastroenterology any substance 45381 Colonoscopy, flexible; with directed submucosal injection(s), Gastroenterology any substance 52287 Cystourethroscopy, with injection(s) for chemodenervation of Gastroenterology the bladder ENTEROSCOPY SMALL BOWEL ENTEROSCOPY W ANESTHESIA 44360 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) 44361 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with biopsy, single or multiple

Page 9 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ENTEROSCOPY SMALL BOWEL ENTEROSCOPY W ANESTHESIA 44364 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 44365 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery 44366 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) 44369 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique 44370 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) 44372 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with placement of percutaneous tube 44373 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube 44376 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 44377 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, including ileum; with biopsy, single or multiple 44378 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) 44379 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ESOPHAGOGASTRODUODENOSCOPY (EGD) Gastroenterology ESOPHAGOGASTRODUODENOSCOPY (EGD), WITH ENDOSCOPY WITH ESOPHAGEAL WALL STENT 43266 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology INSERTION placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ESOPHAGOGASTRODUODENOSCOPY (EGD), WITH GASTRIC ANTRAL EGD W RFA OF VASCULAR LESIONS (GAVE) W ANESTHESIA 43255 Esophagogastroduodenoscopy, flexible, transoral; with control Gastroenterology VASCULAR ECTASIA (GAVE) RADIOFREQUENCY ABLATION (RFA) of bleeding, any method ESOPHAGOGASTRODUODENOSCOPY (EGD), WITH RADIOFREQUENCY ESOPHAGOGASTRODUODENOSCOPY W RFA OF BARRETT'S ESOPHAGUS W 43270 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology ABLATION (RFA) OF BARRETT'S ESOPHAGUS ANESTHESIA ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)

Page 10 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ESOPHAGOSCOPY ESOPHAGOSCOPY 43191 Esophagoscopy, rigid, transoral; diagnostic, including collection ENT, Gastroenterology, of specimen(s) by brushing or washing when performed General, Thoracic (separate procedure) 43200 Esophagoscopy, flexible, transoral; diagnostic, including ENT, Gastroenterology, collection of specimen(s) by brushing or washing, when General, Thoracic performed (separate procedure) ESOPHAGOSCOPY IN ENDO UNIT Gastroenterology ESOPHAGOSCOPY, WITH DILATION ESOPHAGOSCOPY WITH DILATATION 43195 Esophagoscopy, rigid, transoral; with balloon dilation (less than Gastroenterology, General, 30 mm diameter) Thoracic 43196 Esophagoscopy, rigid, transoral; with insertion of guide wire Gastroenterology, General, followed by dilation over guide wire Thoracic 43212 Esophagoscopy, flexible, transoral; with placement of Gastroenterology, General, endoscopic stent (includes pre- and post-dilation and guide Thoracic wire passage, when performed) 43213 Esophagoscopy, flexible, transoral; with dilation of esophagus, Gastroenterology, General, by balloon or dilator, retrograde (includes fluoroscopic Thoracic guidance, when performed) 43214 Esophagoscopy, flexible, transoral; with dilation of esophagus Gastroenterology, General, with balloon (30 mm diameter or larger) (includes fluoroscopic Thoracic guidance, when performed) 43220 Esophagoscopy, flexible, transoral; with transendoscopic Gastroenterology, General, balloon dilation (less than 30 mm diameter) Thoracic 43226 Esophagoscopy, flexible, transoral; with insertion of guide wire Gastroenterology, General, followed by passage of dilator(s) over guide wire Thoracic 43229 Esophagoscopy, flexible, transoral; with ablation of tumor(s), Gastroenterology, General, polyp(s), or other lesion(s) (includes pre- and post-dilation and Thoracic guide wire passage, when performed) 43233 Esophagogastroduodenoscopy, flexible, transoral; with dilation Gastroenterology, General, of esophagus with balloon (30 mm diameter or larger) Thoracic (includes fluoroscopic guidance, when performed) 43248 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology, General, insertion of guide wire followed by passage of dilator(s) Thoracic through esophagus over guide wire ESOPHAGOSCOPY, WITH RADIOFREQUENCY ABLATION (RFA) OF ESOPHAGOSCOPY W RFA OF BARRETT'S ESOPHAGUS W ANESTHESIA 43229 Esophagoscopy, flexible, transoral; with ablation of tumor(s), Gastroenterology BARRETT'S ESOPHAGUS polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) EXCISION, SKIN TAG, ANUS EXCISION ANAL LESION/SKIN TAG 46220 Excision of single external papilla or tag, anus Gastroenterology, Colorectal 46230 Excision of multiple external papillae or tags, anus Gastroenterology, Colorectal HYDROGEN BREATH TEST, FOR BACTERIAL OVERGROWTH HYDROGEN BREATH TEST FOR BACTERIAL OVERGROWTH 91065 Breath hydrogen or methane test (eg, for detection of lactase Gastroenterology, Colorectal deficiency, fructose intolerance, bacterial overgrowth, or oro- cecal gastrointestinal transit) HYDROGEN BREATH TEST, FOR LACTASE DEFICIENCY HYDROGEN BREATH TEST FOR LACTOSE INTOLERENCE 91065 Breath hydrogen or methane test (eg, for detection of lactase Gastroenterology, Colorectal deficiency, fructose intolerance, bacterial overgrowth, or oro- cecal gastrointestinal transit) IMPEDANCE PH STUDY, 24 HOUR 24 HOUR PH PROBE W IMPEDANCE 91034 Esophagus, gastroesophageal reflux test; with nasal catheter Gastroenterology pH electrode(s) placement, recording, analysis and interpretation

Page 11 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service IMPEDANCE PH STUDY, 24 HOUR 24 HOUR PH PROBE W IMPEDANCE 91038 Esophageal function test, gastroesophageal reflux test with Gastroenterology nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours) INJECTION, ONABOTULINUMTOXINA, ANUS INJECTION BOTOX ANUS W ANESTHESIA ENDO UNIT 46505 Chemodenervation of internal anal sphincter Gastroenterology, Colorectal INSERTION, CAPSULE, ESOPHAGUS, ENDOSCOPIC, FOR PH MONITORING ESOPHAGOSCOPY GUIDED CAPSULE PLACEMENT FOR REFLUX TESTING 91035 Esophagus, gastroesophageal reflux test; with mucosal Gastroenterology, Colorectal attached telemetry pH electrode placement, recording, analysis and interpretation INSERTION, PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) TUBE PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE PLACEMENT 43246 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology directed placement of percutaneous gastrostomy tube INSERTION, PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) TUBE, IN PERCUTANEOUS ENDOGASTROSTOMY TUBE ROAD TRIP W ANESTHESIA 49440 Insertion of gastrostomy tube, percutaneous, under Gastroenterology NON-ENDOSCOPY UNIT SETTING fluoroscopic guidance including contrast injection(s), image documentation and report INSERTION, PERCUTANEOUS ENDOSCOPIC JEJUNOSTOMY (PEJ) TUBE PERCUTANEOUS ENDOSCOPIC JEJUNOSTOMY FEEDING TUBE INSERTION 44372 Small intestinal endoscopy, enteroscopy beyond second Gastroenterology WITH ANESTHESIA portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube MOTILITY STUDY, ESOPHAGUS ESOPHAGEAL MOTILITY STUDY 78258 Esophageal motility Gastroenterology 91010 Esophageal motility (manometric study of the esophagus Gastroenterology and/or gastroesophageal junction) study with interpretation and report; 91013 Esophageal motility (manometric study of the esophagus Gastroenterology and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (list separately in addition to code for primary procedu NEEDLE ASPIRATION, WITH ENDOSCOPIC ULTRASOUND (US) GUIDANCE, ASPIRATION NEEDLE W ENDOSCOPIC ULTRASOUND ANESTHESIA AND 43232 Esophagoscopy, flexible, transoral; with transendoscopic Gastroenterology AND PATHOLOGICAL EXAMINATION PATHOLOGY ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) 43238 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent stru 45342 Sigmoidoscopy, flexible; with transendoscopic ultrasound Gastroenterology guided intramural or transmural fine needle aspiration/biopsy(s) 45392 Colonoscopy, flexible; with transendoscopic ultrasound guided Gastroenterology intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and a PEDIATRIC ENDOSCOPY WITH ANESTHESIA Gastroenterology PERCUTANEOUS ENDOGASTROSTOMY TUBE ROAD TRIP Gastroenterology PLACEMENT OR REMOVAL, SETON STITCH PLACEMENT/REMOVAL OF SETON 46020 Placement of seton Gastroenterology, Colorectal 46030 Removal of anal seton, other marker Gastroenterology, Colorectal REMOVAL OR REPLACEMENT, PERCUTANEOUS ENDOSCOPIC PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE CHANGE/REMOVAL 43246 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology, Colorectal, GASTROSTOMY (PEG) TUBE directed placement of percutaneous gastrostomy tube General

Page 12 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service REMOVAL OR REPLACEMENT, PERCUTANEOUS ENDOSCOPIC PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE CHANGE/REMOVAL 43247 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology, Colorectal, GASTROSTOMY (PEG) TUBE removal of foreign body(s) General 43762 Replacement of gastrostomy tube, percutaneous, includes Gastroenterology, Colorectal, removal, when performed, without imaging or endoscopic General guidance; not requiring revision of gastrostomy tract 43763 Replacement of gastrostomy tube, percutaneous, includes Gastroenterology, Colorectal, removal, when performed, without imaging or endoscopic General guidance; requiring revision of gastrostomy tract 43870 Closure of gastrostomy, surgical Gastroenterology, Colorectal, General 49440 Insertion of gastrostomy tube, percutaneous, under Gastroenterology, Colorectal, fluoroscopic guidance including contrast injection(s), image General documentation and report 49450 Replacement of gastrostomy or cecostomy (or other colonic) Gastroenterology, Colorectal, tube, percutaneous, under fluoroscopic guidance including General contrast injection(s), image documentation and report REMOVAL, 24 HOUR GASTRIC PH MONITORING PROBE 24 HOUR PH PROBE REMOVAL 91299 Unlisted diagnostic gastroenterology procedure Gastroenterology REMOVAL, CATHETER, IMPEDANCE PH, ESOPHAGUS REMOVAL PH/IMPEDENCE PROBE 91037 Esophageal function test, gastroesophageal reflux test with Gastroenterology nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; 91038 Esophageal function test, gastroesophageal reflux test with Gastroenterology nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours) REMOVAL, FECES, IMPACTED FECAL DISIMPACTION W ANESTHESIA 45915 Removal of fecal impaction or foreign body (separate Colorectal, Gastroenterology procedure) under anesthesia REMOVAL, FOREIGN BODY, RECTUM EXCISION COLORECTAL FOREIGN BODY 45307 Proctosigmoidoscopy, rigid; with removal of foreign body Gastroenterology, Colorectal 45915 Removal of fecal impaction or foreign body (separate Gastroenterology, Colorectal procedure) under anesthesia RESECTION, MUCOSAL LESION, GASTROINTESTINAL (GI) TRACT, RESECTION MUCOSAL ENDOSCOPIC 43254 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology ENDOSCOPIC endoscopic mucosal resection RETRIEVAL, WIRELESS PH MONITORING DEVICE AND DIARY REFLUX DEVICE RETURN APPOINTMENT Gastroenterology SIGMOIDOSCOPY SIGMOIDOSCOPY W ANESTHESIA 45330 Sigmoidoscopy, flexible; diagnostic, including collection of Gastroenterology, Colorectal, specimen(s) by brushing or washing, when performed General (separate procedure) 45331 Sigmoidoscopy, flexible; with biopsy, single or multiple Gastroenterology, Colorectal, General 45332 Sigmoidoscopy, flexible; with removal of foreign body(s) Gastroenterology, Colorectal, General 45333 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) by hot biopsy forceps General 45334 Sigmoidoscopy, flexible; with control of bleeding, any method Gastroenterology, Colorectal, General 45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), Gastroenterology, Colorectal, any substance General

Page 13 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service SIGMOIDOSCOPY SIGMOIDOSCOPY W ANESTHESIA 45337 Sigmoidoscopy, flexible; with decompression (for pathologic Gastroenterology, Colorectal, distention) (eg, volvulus, megacolon), including placement of General decompression tube, when performed 45338 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) by snare technique General 45340 Sigmoidoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, Colorectal, General 45341 Sigmoidoscopy, flexible; with endoscopic ultrasound Gastroenterology, Colorectal, examination General 45342 Sigmoidoscopy, flexible; with transendoscopic ultrasound Gastroenterology, Colorectal, guided intramural or transmural fine needle General aspiration/biopsy(s) 45346 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) (includes pre- and post-dilation and guide wire General passage, when performed) 45347 Sigmoidoscopy, flexible; with placement of endoscopic stent Gastroenterology, Colorectal, (includes pre- and post-dilation and guide wire passage, when General performed) 45349 Sigmoidoscopy, flexible; with endoscopic mucosal resection Gastroenterology, Colorectal, General 45350 Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Gastroenterology, Colorectal, General SIGMOIDOSCOPY, FLEXIBLE SIGMOIDOSCOPY FLEXIBLE W ANESTHESIA 45330 Sigmoidoscopy, flexible; diagnostic, including collection of Gastroenterology, Colorectal, specimen(s) by brushing or washing, when performed General (separate procedure) 45331 Sigmoidoscopy, flexible; with biopsy, single or multiple Gastroenterology, Colorectal, General 45332 Sigmoidoscopy, flexible; with removal of foreign body(s) Gastroenterology, Colorectal, General 45333 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) by hot biopsy forceps General 45334 Sigmoidoscopy, flexible; with control of bleeding, any method Gastroenterology, Colorectal, General 45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), Gastroenterology, Colorectal, any substance General 45337 Sigmoidoscopy, flexible; with decompression (for pathologic Gastroenterology, Colorectal, distention) (eg, volvulus, megacolon), including placement of General decompression tube, when performed 45338 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) by snare technique General 45340 Sigmoidoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, Colorectal, General 45341 Sigmoidoscopy, flexible; with endoscopic ultrasound Gastroenterology, Colorectal, examination General 45342 Sigmoidoscopy, flexible; with transendoscopic ultrasound Gastroenterology, Colorectal, guided intramural or transmural fine needle General aspiration/biopsy(s)

Page 14 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service SIGMOIDOSCOPY, FLEXIBLE SIGMOIDOSCOPY FLEXIBLE W ANESTHESIA 45346 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or Gastroenterology, Colorectal, other lesion(s) (includes pre- and post-dilation and guide wire General passage, when performed) 45347 Sigmoidoscopy, flexible; with placement of endoscopic stent Gastroenterology, Colorectal, (includes pre- and post-dilation and guide wire passage, when General performed) 45349 Sigmoidoscopy, flexible; with endoscopic mucosal resection Gastroenterology, Colorectal, General 45350 Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Gastroenterology, Colorectal, General SIGMOIDOSCOPY, FLEXIBLE, WITH ARGON PLASMA COAGULATION SIGMOIDOSCOPY FLEXIBLE WITH ARGON PLASMA COAGULATOR WITH 45334 Sigmoidoscopy, flexible; with control of bleeding, any method Gastroenterology, Colorectal ANESTHESIA SIGMOIDOSCOPY, FLEXIBLE, WITH RADIOFREQUENCY ABLATION (RFA) OF FLEXIBLE SIGMOIDOSCOPY W RFA OF RADIATION PROCTITIS W 45346 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or Gastroenterology RADIATION PROCTITIS LESION ANESTHESIA other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) SIGMOIDOSCOPY, IN NON-ENDOSCOPY UNIT SETTING SIGMOIDOSCOPY ROAD TRIP 45330 Sigmoidoscopy, flexible; diagnostic, including collection of Gastroenterology, Colorectal specimen(s) by brushing or washing, when performed (separate procedure) 45331 Sigmoidoscopy, flexible; with biopsy, single or multiple Gastroenterology, Colorectal 45332 Sigmoidoscopy, flexible; with removal of foreign body(s) Gastroenterology, Colorectal 45333 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal other lesion(s) by hot biopsy forceps 45334 Sigmoidoscopy, flexible; with control of bleeding, any method Gastroenterology, Colorectal 45335 Sigmoidoscopy, flexible; with directed submucosal injection(s), Gastroenterology, Colorectal any substance 45337 Sigmoidoscopy, flexible; with decompression (for pathologic Gastroenterology, Colorectal distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed 45338 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or Gastroenterology, Colorectal other lesion(s) by snare technique 45340 Sigmoidoscopy, flexible; with transendoscopic balloon dilation Gastroenterology, Colorectal 45341 Sigmoidoscopy, flexible; with endoscopic ultrasound Gastroenterology, Colorectal examination 45342 Sigmoidoscopy, flexible; with transendoscopic ultrasound Gastroenterology, Colorectal guided intramural or transmural fine needle aspiration/biopsy(s) 45346 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or Gastroenterology, Colorectal other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) 45347 Sigmoidoscopy, flexible; with placement of endoscopic stent Gastroenterology, Colorectal (includes pre- and post-dilation and guide wire passage, when performed) 45349 Sigmoidoscopy, flexible; with endoscopic mucosal resection Gastroenterology, Colorectal 45350 Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Gastroenterology, Colorectal SIGMOIDOSCOPY, WITH ENDOSCOPIC ULTRASOUND (US) Gastroenterology, Colorectal TRANSRECTAL ULTRASOUND Gastroenterology, Colorectal

Page 15 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ULTRASOUND, ENDOSCOPIC, WITH FIDUCIAL MARKER INSERTION ENDOSCOPIC ULTRASOUND W FIDUCIAL MARKER PLACEMENT W 31626 Bronchoscopy, rigid or flexible, including fluoroscopic Gastroenterology ANESTHESIA guidance, when performed; with placement of fiducial markers, single or multiple 31654 Bronchoscopy, rigid or flexible, including fluoroscopic Gastroenterology guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (list separately in addition to 32553 Placement of interstitial device(s) for radiation therapy Gastroenterology guidance (eg, fiducial markers, dosimeter), percutaneous, intra- thoracic, single or multiple 41019 Placement of needles, catheters, or other device(s) into the Gastroenterology head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application 43253 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of 49327 , surgical; with placement of interstitial device(s) Gastroenterology for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imaging guidance, if performed, single or multiple (List sepa 76942 Ultrasonic guidance for needle placement (eg, biopsy, Gastroenterology aspiration, injection, localization device), imaging supervision and interpretation ULTRASOUND, LOWER GASTROINTESTINAL (GI) TRACT, ENDOSCOPIC LOWER ENDOSCOPIC ULTRASOUND W ANESTHESIA 44406 Colonoscopy through stoma; with endoscopic ultrasound Gastroenterology, Colorectal examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures 45341 Sigmoidoscopy, flexible; with endoscopic ultrasound Gastroenterology, Colorectal examination 45391 Colonoscopy, flexible; with endoscopic ultrasound examination Gastroenterology, Colorectal limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ULTRASOUND, UPPER GASTROINTESTINAL (GI) TRACT, ENDOSCOPIC UPPER ENDOSCOPIC ULTRASOUND W ANESTHESIA 43232 Esophagoscopy, flexible, transoral; with transendoscopic Gastroenterology ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) 43237 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures 43238 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent stru

Page 16 of 17 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gastroenterology Service New Name Old Name CPT Code Service ULTRASOUND, UPPER GASTROINTESTINAL (GI) TRACT, ENDOSCOPIC UPPER ENDOSCOPIC ULTRASOUND W ANESTHESIA 43242 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgicall 43259 Esophagogastroduodenoscopy, flexible, transoral; with Gastroenterology endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the is examined distal to the anastomosis

Page 17 of 17 * Indicates Inpatient only CPT Code/Procedure