An esophagogastroduodenoscopy (EGD) is an exam of the upper gastrointestinal (GI) tract with a slim, flexible, lighted tube. The upper GI tract includes the throat, esophagus, stomach, and first part of the small intestine (duodenum).
What should I expect during an EGD? – Click to learn.
When is an EGD used?
This procedure may be done to check for problems with your digestive tract including:
Problems swallowing, narrowing of tumors in the esophagus, repeated heartburn, gastrointestinal bleeding, chest pain, abdominal pain, vomiting, unexplained anemia or abnormal findings of gastrointestinal X-rays.
Will my insurance pay?
Do not make the mistake of asking your insurance company, “Is it covered?” Use these detailed questions to get accurate answers from your insurance company, regarding what they will pay and how much will be your responsibility.
1. How much is my deductible? Your deductible is the amount you have to pay the doctor before your coverage begins.
2. How much is my coinsurance?
a. (Example: “80/20 Coinsurance” is the amount the insurance company pays (80%) and patient pays (20%) after your deductible has been met).
3. What is the allowable cost for CPT codes 43235-43259?
4. Are Drs. Dewan, Turk, Beyer and Sharma participating providers? View Participation List.
5. Do I have to use preferred facilities for procedures, x-rays, labs and hospital admissions?
6. Explain any potential costs from the facility, pathologists, anesthesiologists or other healthcare professionals.
Special Note: Increasingly, insurance policies have up to $5,000 deductibles. If your deductible is not met before a procedure, we may ask that you set up a payment plan before scheduling. This proactive approach lets you make informed decisions and avoid surprises.