Clinical Indications for an upper G.I. endoscopy, procedure code 194, are listed below.
No Consultant or hospital benefits are payable for a repeat upper G.I. endoscopy within a 12 month period except for those clinical indications listed below as "Repeat endoscopy".
New clinical indications unrelated to the indications(s) for an earlier endoscopy within the 12 month period, themselves identified indication(s) for endoscopy, will not be excluded by a prior endoscopy.
No Consultant or hospital benefits are payable for a surveillance upper G.I. endoscopy except for those clinical indications listed below as "Surveillance endoscopy".
Procedure code 194 is not claimable in conjunction with procedure codes 198, 202 or 271.