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CPT 44363: Endoscopic Examination and Foreign-Body Removal, Proximal Small Intestine
Headline: CPT code 44363 covers endoscopic evaluation and foreign-body removal from the proximal small intestine
Lead: CPT code 44363 describes an upper endoscopic procedure that examines the duodenum and extends into the jejunum to identify and remove swallowed objects that may obstruct or damage the intestines. This code captures a diagnostic and potentially therapeutic service that has clinical and administrative significance across hospitals and ambulatory surgical settings.
CPT code 44363 matters nationally because it documents a focused endoscopic intervention that can prevent serious complications from ingested foreign bodies and guides payment for services rendered in acute and outpatient settings. Major payers engaged in coverage and payment policies include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise review of the code’s clinical scope, the typical sites of service, and the payer landscape included in the analysis. The publication provides benchmarks for utilization and payment trends where available, summarizes relevant policy updates affecting coverage and billing practice, and situates the procedure within clinical care pathways for foreign-body ingestion. Data not available in the input will be noted as such in corresponding sections.
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Billing Code Overview
CPT code 44363 describes an endoscopic examination of the proximal small intestine performed by inserting a flexible endoscope through the mouth. The procedure includes visualization of the first and second parts of the duodenum and advancement into the jejunum, excluding the ileum. The service specifically includes location and removal of swallowed foreign bodies that may obstruct or injure the intestines.
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Service type: Endoscopic diagnostic and therapeutic examination of the proximal small intestine (esophagogastroduodenoscopy with jejunal intubation for foreign body removal)
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Typical site of service: Hospital outpatient department or ambulatory surgical center; may also be performed in an endoscopy suite or other facility equipped for upper endoscopy