Laya

OGD clinical indicators

Indicator codes for the initial gastroscopy

Code Letter Desc
(0001) Suspected treatment failure in patients who remain symptomatic and are serologically positive for Helicobacter pylori infection, have received treatment with PPIs and where 4 weeks have lapsed following completion of treatment
(0002) Presentation with signs or symptoms suggesting serious organic disease (e.g. anorexia, weight loss) or in patients with upper abdominal symptoms > 45 years old
(0003) Dysphagia or odynophagia
(0004) Oesophageal reflux symptoms that are persistent or recurrent despite treatment
(0005) Persistent vomiting, unknown aetiology
(0006) Biopsy for suspected coeliac disease after positive tTGA and EMA serology testing
(0007) Other diseases in which the presence of upper GI pathology might modify treatment options in: a) those scheduled for organ transplantation who have a history of upper GI bleeding, b) those on long term anti-coagulation, c) those on long-term non-steroidal anti-inflammatory drug therapy for arthritis, and d) those with cancer of the head and neck
(0008) To confirm and secure histological diagnosis of radiological findings of suspected upper gastro-intestinal tract lesions
(0009) GI haemorrhage in patients with active or recent blood loss
(0010) Presumed chronic blood loss: when the clinical situation suggests an upper GI bleeding source or when colonoscopy results are negative
(0011) Iron deficiency anaemia
(0012) Pernicious anaemia (further planned endoscopy is on an individual basis on the submission of a medical report)
(0013) To assess acute injury after ingestion of a corrosive substance
(0014) Therapeutic management of bleeding lesions such as ulcers, tumours, vascular abnormalities (e.g. electro-coagulation, heater probe, laser photocoagulation, or injection therapy)
(0015) Diagnosis and further investigation of achalasia
(0016) In exceptional instances where the clinical need is detailed in a medical report that accompanies the claim form on submission