Home » Categories » CPT Surgery/APC Coding

EGD with Dilation


CPT question of egd with dilation, doctor dictates "on withdrawl a TTS dilator was passed thru scope. Dilation with 12-13 CRG balloon dilator was performed....charged is cpt 43248 and 43249 and bx 43239 (bx was done)but why 43248?


Actually, this procedure should probably be coded to 43248 and 43239.  Depending on the type of through the scope (TTS) dilator used, the dilator may include a guidewire. If it does, 43248 should be reported for the placement of the guidewire and dilation.  Boston Scientific makes a TTS dilator that includes a guidewire.  If a guidewire was not used, the correct codes would be 43249 and 43239.  Reporting of both 43248 and 43249 is incorrect since you would be coding the esophageal dilation twice.

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Discontinued Colonoscopy
Viewed 2617 times since Thu, Dec 2, 2010
CPT code 20610 vs. G0260 vs 27096
Viewed 5469 times since Tue, Apr 26, 2011
Tenolysis in the Wound Care Center
Viewed 1841 times since Tue, Nov 16, 2010
Viewed 5682 times since Tue, Jul 12, 2011
Surveillance Colonoscopy
Viewed 4705 times since Mon, Aug 1, 2011
Port-a-cath Flush And Facility Fee Same Day
Viewed 5170 times since Sat, Jul 2, 2011
Evacuation of Hematoma with Ligation of Artery
Viewed 3526 times since Thu, Jun 16, 2011
C-ARM Used in Surger
Viewed 11987 times since Tue, Mar 22, 2011
Non-Incisional Foreign Body Removal
Viewed 3071 times since Tue, Sep 25, 2012
Cancelled Surgery-Failed intubation
Viewed 2716 times since Tue, May 3, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506