CPT® Code 0355T | Case2Code

Code deleted, see 91113

Official Description

Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report

Common Language Description

The procedure described by CPT® Code 0355T involves gastrointestinal tract imaging using an intraluminal device, specifically a capsule endoscopy. This innovative technique utilizes a small, disposable capsule that contains an endoscope equipped with a camera. The complete system also includes sensing and transmission devices, along with a data recorder that captures the images taken during the procedure. Intraluminal imaging is particularly valuable for examining the colon, especially in cases where traditional colonoscopy methods have failed due to various challenges such as technical impossibility, incomplete fecal evacuation, or issues with bowel preparation. During the procedure, the patient swallows the capsule, which then travels through the gastrointestinal tract propelled by natural peristaltic movements. As the capsule moves, it captures images of the colon at two-second intervals. These images are wirelessly transmitted to a recorder that the patient wears around their waist. After the imaging process is complete, which typically occurs within approximately 24 hours, the collected data is downloaded to a workstation computer for thorough interpretation. A detailed written report of the findings is then generated, providing essential insights into the condition of the colon, including the detection of polyps and tumors.

1. Indications

The procedure is indicated for the following conditions:

Technical Impossibility of Colonoscopy - When a traditional colonoscopy cannot be performed due to anatomical or technical challenges.
Incomplete Fecal Evacuation - In cases where the bowel preparation is inadequate, preventing a thorough examination during colonoscopy.
Problematic Bowel Preparation - Situations where the preparation for colonoscopy has not been successful, leading to insufficient visibility of the colon.

2. Procedure

The procedure consists of several key steps that ensure effective imaging of the colon:

Step 1: Patient Preparation - Prior to the procedure, the patient is instructed on how to prepare for the capsule endoscopy. This may include dietary restrictions and guidelines for bowel preparation to ensure optimal imaging results.
Step 2: Capsule Ingestion - The patient swallows the capsule, which is designed to travel through the gastrointestinal tract. This step is crucial as the capsule must be ingested properly for the procedure to commence.
Step 3: Imaging Process - As the capsule moves through the gastrointestinal tract, it captures images of the colon at two-second intervals. These images are transmitted wirelessly to a data recorder that the patient wears around their waist, allowing for continuous monitoring during the imaging process.
Step 4: Data Collection - The data recorder collects the images transmitted from the capsule. This step is essential for ensuring that all relevant images are captured for later analysis.
Step 5: Capsule Expulsion - The capsule is naturally expelled from the body within approximately 24 hours after ingestion. This is a normal part of the procedure, and the patient is informed about this process.
Step 6: Data Download and Interpretation - After the imaging is complete, the collected data is downloaded to a workstation computer. A healthcare professional then interprets the images and prepares a written report detailing the findings.

3. Post-Procedure

After the capsule endoscopy, patients are typically advised to resume their normal activities. They may be instructed to monitor for any unusual symptoms, such as abdominal pain or discomfort, and to report these to their healthcare provider. The capsule is expected to be expelled naturally within a day, and patients should be informed that they may not see the capsule as it passes through their system. The results of the imaging will be compiled into a report, which will be discussed with the patient during a follow-up appointment to determine any necessary next steps based on the findings.

Short Descr	GI TRACT CAPSULE ENDOSCOPY
Medium Descr	GI TRACT IMAGING INTRALUMINAL COLON WITH I&R
Long Descr	Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report
Status Code	Carriers Price the Code
Global Days	YYY - Carrier Determines Whether Global Concept Applies
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Hospital Part B services paid through a comprehensive APC
Berenson-Eggers TOS (BETOS)	I1F - Standard imaging - other
MUE	Not applicable/unspecified.