Coding for upper GI exam with small bowel follow-through
How do we report an upper gastrointestinal exam (UGI) with small bowel follow-through using the updated CPT® codes for 2020?
For 2020, you would report two CPT® codes for an UGI with small bowel follow-through. You would choose from 74240 or 74246 for the UGI exam and also report add-on code 74248 for the small bowel follow-through.
Code 74240 is reported for an UGI with single contrast; and code 74246 is reported for a double contrast UGI. The complete code descriptions are as follows:
74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s) when performed; single-contrast (e.g., barium) study
74246 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s) when performed; double-contrast (e.g., high-density barium and effervescent agent) study, including glucagon, when administered
74248 Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)