| (0026) |
|
Barrett's mucosa shorter than 3cm, without dysplasia on a previous endoscopy: benefit is for a surveillance endoscopy every 3 years |
| (0027) |
|
Barrett's mucosa, greater than 3cm, without dysplasia on a previous endoscopy: benefit is for a surveillance endoscopy every 2 years |
| (0028) |
|
Barrett's mucosa, with low-grade dysplasia on a previous endoscopy: benefit is for a surveillance endoscopy every 6 months until 2 consecutive endoscopies have no metaplasia |
| (0029) |
|
Barrett's mucosa, with high-grade dysplasia on a previous endoscopy: benefit is for a surveillance endoscopyevery 3 months |
| (0030) |
|
Gastric intestinal metaplasia/gastric epithelial dysplasia/atrophic gastritis with low-grade dysplasia: benefit is for a surveillance endoscopy every 3 years |
| (0031) |
|
Gastric intestinal metaplasia/gastric epithelial dysplasia/atrophic gastritis with high-grade dysplasia: benefit is for a surveillance endoscopy at 6 months |
| (0032) |
|
Upper GI surveillance for members with Peutz-Jeghers syndrome: benefit is for a surveillance endoscopy every 2 years from age 18 years |
| (0033) |
|
upper gi surveillance for members with juvenile polyposis: benefit is for a surveillance endoscopy every 3 years from age 18 years |
| (0034) |
|
Upper GI surveillance for members with Lynch Syndrome: benefit is for surveillance endoscopy every 2 years from age 50 years |
| (0035) |
|
Upper GI surveillance for members with MUTYH bi-allelic carriers: benefit will be provided for a 3 yearly gastrointestinal endoscopy from age 30 years |