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CPT 44360: Diagnostic Upper Small Bowel Endoscopy with Brushing
CPT code 44360 denotes diagnostic upper small bowel endoscopy performed through the mouth to evaluate the duodenum and jejunum, with brushing or washing to collect cells for laboratory analysis. This procedure is used to investigate causes of gastrointestinal symptoms such as bleeding and diarrhea when visualization and cytologic sampling of the proximal small intestine are required. Nationally, the code is relevant for gastroenterology service lines, hospital outpatient workflow, and endoscopy centers that manage diagnostic workups for small-bowel pathology.
Key payers reviewed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and common billing considerations tied to the code’s diagnostic intent. The publication summarizes benchmark payment themes and payer coverage patterns, outlines documentation elements that support medical necessity, and identifies coding relationships clinicians and billing staff should be aware of.
This summary provides a national overview for administrators, coding professionals, and clinicians seeking clarity on the clinical use and billing context of CPT code 44360. Data not available in the input for specific payer rates, associated taxonomies, and ICD-10 mappings.
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Billing Code Overview
CPT code 44360 describes an endoscopic examination of the proximal small intestine performed via the mouth. The procedure visualizes the first and second portions of the duodenum and extends into the jejunum, excluding the ileum. The clinician inspects the mucosa for abnormalities such as sources of gastrointestinal bleeding or causes of diarrhea and collects cellular material by brushing or washing suspicious areas for laboratory analysis.
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Service type: Diagnostic endoscopy of the proximal small intestine with brushing/washing for cytology
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Typical site of service: Hospital outpatient department, ambulatory surgery center, or endoscopy suite in a clinic setting