2025 CPT code 3141F
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Diagnostic/Screening Processes or Results Category II Codes Feed
Upper gastrointestinal endoscopy report indicates no suspicion of Barrett's esophagus (GERD).
Modifiers are not typically applied to Category II codes like 3141F.
Medical necessity for the upper endoscopy would typically be based on the patient's symptoms (GERD symptoms, dyspepsia), risk factors (family history of esophageal cancer, long-standing GERD), or as part of routine screening in individuals with significant risk factors.
The clinical responsibility rests with the gastroenterologist or physician performing the upper gastrointestinal endoscopy and interpreting the findings.This includes ordering the procedure, conducting the procedure, and generating a detailed report including the absence of Barrett's esophagus.
In simple words: This code means a doctor used a camera to look inside your esophagus, stomach, and beginning of your small intestine. The test showed no sign of Barrett's esophagus, a condition that can lead to cancer.
This Category II CPT code reports the findings of an upper gastrointestinal endoscopy where no evidence of Barrett's esophagus was detected.The endoscopy is performed to evaluate the esophagus, stomach, and duodenum for various conditions, including GERD (Gastroesophageal Reflux Disease), and Barrett's esophagus, a precancerous condition.A negative report for Barrett's esophagus indicates a normal or unremarkable finding during the endoscopic examination.
Example 1: A 55-year-old male patient with a history of GERD undergoes an upper endoscopy. The procedure reveals no abnormalities, specifically no evidence of Barrett's esophagus. Code 3141F is used to document the negative findings., A 40-year-old female patient with chronic heartburn and persistent dyspepsia undergoes an upper endoscopy to rule out Barrett's esophagus.The endoscopy shows no signs of Barrett's esophagus. 3141F is applied to record this., A 60-year-old patient with a family history of esophageal cancer is screened with an upper endoscopy.The examination reveals a normal esophagus with no Barrett's changes.Code 3141F is utilized to document this negative result.
Complete endoscopic report including images, description of procedure, and explicit statement indicating the absence of Barrett's esophagus.Physician's interpretation and conclusion are crucial for proper coding.
** This code is part of the CPT Category II codes, designed for performance measurement and quality improvement.It does not have a relative value unit (RVU) and is not used for direct reimbursement.Its use is optional.
- RVU: Category II codes do not have relative value units (RVUs) associated with them.
- Global Days : Not applicable to Category II codes.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule : Not applicable. Category II codes are not associated with fee schedules.
- Specialties:Gastroenterology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)