What Is Upper GI Endoscopy Procedure?

At EZSettle Solutions, we help healthcare providers, legal professionals, and insurance firms manage complex medical documentation and billing. One critical procedure requiring precision is the Upper GI Endoscopy, also known as Esophagogastroduodenoscopy (EGD). This minimally invasive diagnostic test examines the esophagus, stomach, and duodenum using a flexible tube with a camera.

What Does the Procedure Involve?

Upper GI endoscopy is recommended to evaluate symptoms such as:

  • Persistent acid reflux or heartburn
  • Difficulty swallowing (dysphagia)
  • Abdominal pain, nausea, or unexplained bleeding
  • Ulcers, gastritis, or tumors

During the procedure, patients are sedated, the endoscope is gently inserted, and physicians may take biopsy samples if needed.

For a medically detailed overview, refer to the Mayo Clinic’s endoscopy guide.

The Importance of Accurate Documentation & Coding

Even when the clinical procedure is straightforward, medical billing for EGD can be complex. Missing information or incorrect coding may lead to claim denials, delayed reimbursement, or audit risk.

At EZSettle Solutions, we offer comprehensive solutions tailored for gastroenterology practices:

How EZSettle Solutions Supports GI Practices

  1. Billing Accuracy – Ensuring proper coding for procedures like EGD (CPT 43235, 43239 as applicable) to maximize clean claims.
  2. Documentation Review – Verifying that charts include procedure justification, sedation notes, and biopsy details.
  3. Denial Prevention – Monitoring trends and applying corrective actions to common errors in GI billing Key Takeaways
  • An upper GI endoscopy is a precise diagnostic tool used for visualizing and sampling the upper GI tract.
  • Proper medical coding and documentation are crucial for reimbursement and legal compliance.
  • At EZSettle Solutions, our dedicated gastroenterology billing and coding team ensures accurate processing and fewer claim rejections.
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📞 Wondering how this fits into your gastroenterology workflow or legal case?
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