Multiple endoscopy-related procedure codes to be released in Germany in 2021

Sub-chapter 1-31 Functional examinations of the digestive tract

• 1-313.0 Esophageal manometry: Pull-through manometry
• 1-313.1 Esophageal manometry: High-resolution manometry
• 1-313.2 Esophageal manometry: Impedance planimetry
• 1-313.x Esophageal manometry: Other

Sub-chapter 5-42 Operations on the esophagus

• 5-429.v0 Other operations on the esophagus: Endoscopic hemostasis by applying substances: Absorptive
• 5-429.v1 Other operations on the esophagus: Endoscopic hemostasis by applying substances: Peptide hydrogel-forming
• 5-42a.1 Further operations on the esophagus: Endoscopic reconstruction of the esophageal passage using the combined antegrade-retrograde method
• 5-42a.2 Further operations on the esophagus: Endoscopic stent fixation using a ring-shaped clip attached to an endoscope

Sub-chapter 5-44 Operations on the stomach

• 5-449.v** Other operations on the stomach: Hemostasis by applying peptide hydrogel-forming substances

• 5-44a.0 Further operations on the stomach: Endoscopic stent fixation using a ring-shaped clip attached to an endoscope
• 5-44a.10 Further operations on the stomach: Implantation or replacement of a mechanical antireflux system with abutment: Open surgical
• 5-44a.11 Further operations on the stomach: Implantation or replacement of a mechanical antireflux system with abutment: Laparoscopic
• 5-44a.12 Further operations on the stomach: Implantation or replacement of a mechanical antireflux system with abutment: Switch from laparoscopic to open surgical
• 5-44a.20 Further operations on the stomach: Revision or removal of a mechanical antireflux system with abutment: Open surgical
• 5-44a.21 Further operations on the stomach: Revision or removal of a mechanical antireflux system with abutment: Laparoscopic
• 5-44a.22 Further operations on the stomach: Revision or removal of a mechanical antireflux system with abutment: Switch from laparoscopic to open surgical

Sub-chapter 5-45 Incision, excision, resection and anastomosis on the small and large intestine

• 5-451.c0 Local excision and destruction of diseased tissue of the small intestine: Excision, endoscopic, motorized spiral endoscopy: Excision without further measures
• 5-451.c1 Local excision and destruction of diseased tissue of the small intestine: Excision, endoscopic, motorized spiral endoscopy: Polypectomy of 1-2 polyps with a loop
• 5-451.c2 Local excision and destruction of diseased tissue of the small intestine: Excision, endoscopic, motorized spiral endoscopy: Polypectomy of more than 2 polyps with a loop
• 5-451.c3 Local excision and destruction of diseased tissue of the small intestine: Excision, endoscopic, motorized spiral endoscopy: Endoscopic mucosal resection
• 5-451.c4 Local excision and destruction of diseased tissue of the small intestine: Excision, endoscopic, motorized spiral endoscopy: Endoscopic full thickness excision [EFTR]
• 5-451.cx Local excision and destruction of diseased tissue of the small intestine: Excision, endoscopic, motorized spiral endoscopy: Other
• 5-451.d** Local excision and destruction of diseased tissue of the small intestine: Destruction, endoscopic, motorized spiral endoscopy
• 5-451.e Local excision and destruction of diseased tissue of the small intestine: Endoscopic thermal ablation of the duodenal mucosa for reduction of insulin resistance
• 5-452.b0 Local excision and destruction of diseased tissue of the large intestine: Excision, endoscopic, motorized spiral endoscopy: Excision without further measures
• 5-452.b1 Local excision and destruction of diseased tissue of the large intestine: Excision, endoscopic, motorized spiral endoscopy: Polypectomy of 1-2 polyps with a loop
• 5-452.b2 Local excision and destruction of diseased tissue of the large intestine: Excision, endoscopic, motorized spiral endoscopy: Polypectomy of more than 2 polyps with a loop
• 5-452.b3 Local excision and destruction of diseased tissue of the large intestine: Excision, endoscopic, motorized spiral endoscopy: Endoscopic mucosal resection
• 5-452.b4 Local excision and destruction of diseased tissue of the large intestine: Excision, endoscopic, motorized spiral endoscopy: Endoscopic submucosal dissection [ESD]
• 5-452.b5 Local excision and destruction of diseased tissue of the large intestine: Excision, endoscopic, motorized spiral endoscopy: Endoscopic full thickness excision [EFTR]
• 5-452.bx Local excision and destruction of diseased tissue of the large intestine: Excision, endoscopic, motorized spiral endoscopy: Other
• 5-452.c** Local excision and destruction of diseased tissue of the large intestine: Destruction, endoscopic, motorized spiral endoscopy

Sub-chapter 5-46 Other operations on the small and large intestine

• 5-469.w** Other operations on the intestine: Hemostasis by applying peptide hydrogel-forming substances
• 5-46a.0 Further operations on the intestine: Endoscopic stent fixation using a ring-shaped clip attached to an endoscope
• 5-46a.1 Further operations on the intestine: Motorized spiral endoscopy

Sub-chapter 5-48 Operations on the rectum

• 5-482.g Peranal local excision and destruction of diseased tissue of the rectum: Endoscopic submucosal dissection [ESD]
• 5-489.k0 Other operations on the rectum: Endoscopic hemostasis by applying substances: Absorptive
• 5-489.k1 Other operations on the rectum: Endoscopic hemostasis by applying substances: Peptide hydrogel-forming
• 5-489.p Other operations on the rectum: Endoscopic stent fixation using a ring-shaped clip attached to an endoscope

Sub-chapter 5-49 Operations on the anus

• 5-493.00 Surgical treatment of hemorrhoids: Ligature: 1 hemorrhoid
• 5-493.01 Surgical treatment of hemorrhoids: Ligature: 2 hemorrhoids
• 5-493.02 Surgical treatment of hemorrhoids: Ligature: 3 or more hemorrhoids
• 5-493.20 Surgical treatment of hemorrhoids: Excision (e.g. after Milligan-Morgan): 1 segment
• 5-493.21 Surgical treatment of hemorrhoids: Excision (e.g. after Milligan-Morgan): 2 segments
• 5-493.22 Surgical treatment of hemorrhoids: Excision (e.g. after Milligan-Morgan): 3 or more segments
• 5-493.60 Surgical treatment of hemorrhoids: Excision with plastic reconstruction (e.g. after Fansler, Arnold, Parks): 1 segment
• 5-493.61 Surgical treatment of hemorrhoids: Excision with plastic reconstruction (e.g. after Fansler, Arnold, Parks): 2 segments
• 5-493.62 Surgical treatment of hemorrhoids: Excision with plastic reconstruction (e.g. after Fansler, Arnold, Parks): 3 or more segments

Sub-chapter 5-52 Operations on the pancreas

• 5-526.k Endoscopic operations on the pancreatic duct: Transgastric or transduodenal puncture of the pancreatic duct

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