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CPT 44366: Upper Small Bowel Endoscopy with Hemostasis
CPT code 44366 represents an endoscopic procedure in which the provider advances an endoscope beyond the second part of the duodenum into the jejunum to evaluate for abnormalities and to perform hemostatic interventions for bleeding. Nationally, this code is used when diagnostic visualization of the upper small intestine is coupled with active control of hemorrhage using techniques such as injection, cautery, heater probe, laser, stapling, or plasma coagulation. Its use signals combined diagnostic and therapeutic intent and can affect site-of-service selection, resource use, and clinical documentation requirements.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, how the procedure maps to typical sites of service, and the operational implications for claims handling. The publication outlines common billing and coding considerations, benchmark metrics, and relevant policy updates that influence coverage and prior authorization practices. It also highlights documentation elements that support medical necessity for both diagnostic endoscopy and concurrent hemostatic control.
Data not available in the input for associated taxonomies, specific ICD-10 pairings, and payer-specific coverage rules.
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Billing Code Overview
CPT code 44366 describes an endoscopic examination of the small intestine performed with an endoscope advanced beyond the second portion of the duodenum but not including the ileum. The procedure includes identification of intestinal abnormalities and active control of bleeding by methods such as injection, cautery, heater probe, laser, stapler, or plasma coagulator.
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Service type: Diagnostic and therapeutic upper small bowel endoscopy with hemostatic intervention
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Typical site of service: Endoscopy suite or operating room (hospital outpatient department or ambulatory surgical center)