Home » Categories » CPT Surgery/APC Coding

EGD with Dilation


Question

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?

Answer

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
Ultrasound Guided Fine Needle Aspiration and Core BX
Viewed 10161 times since Mon, Apr 25, 2011
When To Charge Fluoroscopy (76000) With an OR Procedure
Viewed 18704 times since Mon, Dec 20, 2010
Total Hip Arthroplasty After Closed Reduction with Percutaneous Pinning
Viewed 3506 times since Thu, May 5, 2011
Identification Of Bilateral Transforaminal Epidural Injections-64483
Viewed 3312 times since Thu, Feb 3, 2011
Trigger Finger Reduction
Viewed 1654 times since Tue, Nov 16, 2010
Holter Monitor / EKG Modifier 59
Viewed 1830 times since Fri, Oct 28, 2011
Apligraf Application CPT Coding
Viewed 4792 times since Tue, Oct 11, 2011
Medical Nutrition Therapy
Viewed 1785 times since Thu, Dec 9, 2010
Dental Blocks
Viewed 13752 times since Tue, Feb 8, 2011
Dental Block
Viewed 5123 times since Fri, Sep 2, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506