Endoscopic ultrasonography is considered for payment, as recommended by the American Society for Gastrointestinal Endoscopy (ASGE) and the American Gastroenterological Association for the following indications:
Establish the stages of gastrointestinal tract tumors (including the esophagus, pancreas and biliary ducts;
Evaluate anomalies on the gastrointestinal walls or adjacent structures.
Obtain tissue of organs adjacent to the gastrointestinal wall.
Evaluate anomalies in the pancreas, including masses, pseudocysts and chronic pancreatitis;
Evaluate anomalies of the biliary tract;
Provide endoscopic therapies under sonographic control;
Evaluation of adenopathies and mases in the mediastenium
Establish stages of lung cancer (Endoscopic Sonography with aspiration with a fine needle)
Evaluation of gastric subephitelial masses
Ultrasonographic endoscopy is not considered for payment to establish the stages of tumors which have been proved methastatic through other means.
