VHI

OGD clinical indicators

Indicator codes for a repeat gastroscopy within 12 months

Code Letter Desc
1 q Previously diagnosed Grade D oesophagitis or gastric or oesophageal ulcer: Benefit will be provided for repeat endoscopy to check for healing or to re-biopsy until healed
809 r Patients diagnosed with an atypical (non-H. pylori-associated) or high-risk duodenal ulcer: Benefit will be provided for one repeat endoscopy to re-biopsy (except by report)
2 s Coeliac Disease – re-check for healing 3 – 12 months after diagnosis (once only)
4 t Monitoring of oesophageal varices in patients with portal hypertension
5 u Stent blockage
810 v Follow up of patients post gastric or oesophageal cancer: Benefit will be provided for endoscopies as clinically indicated
811 w Gastric polyp (except fundic gland polyp): Benefit will be provided for repeat endoscopy at 1 year
718 x Patient with a major bleed in whom the initial gastroscopy failed to identify the source of bleeding
719 y Post treatment of bleeding ulcer or Mallory-Weiss tear