CMS Gastrophotography Form


Gastrophotography

Notes: Program reimbursement may be made for gastrophotography when the procedure meets the specified indications.

Indications

(824595) Is the gastrophotography required for documentation and evaluation of lesions such as a gastric ulcer? 
(824596) Is the procedure necessary for physician consultation about difficult-to-interpret lesions? 
(824597) Is gastrophotography being used for preoperative characterization? 
(824598) Will the procedure assist in diagnosing postoperative gastric bleeding to determine the need for reoperation? 

Effective Date

01/01/2066

Last Reviewed

NA

Original Document

  Reference



Gastrophotography is an accepted procedure for diagnosis and treatment of gastrointestinal disorders. The photographic record provided by this procedure is often necessary for consultation and/or followup purposes and when required for such purposes, is more valuable than a conventional gastroscopic examination. Such a record facilitates the documentation and evaluation (healing or worsening) of lesions such as the gastric ulcer, facilitates consultation between physicians concerning difficult-to-interpret lesions, provides preoperative characterization for the surgeon, and permits better diagnosis of postoperative gastric bleeding to help determine whether there is a need for reoperation. Therefore, program reimbursement may be made for this procedure.