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
Hernia Repairs
Viewed 9250 times since Tue, Nov 16, 2010
Viewed 15438 times since Thu, Sep 8, 2011
Screening Colonoscopy with a Hemorrhoidectomy
Viewed 3229 times since Thu, Sep 8, 2011
Failed Placement of Infusaport
Viewed 2869 times since Tue, Dec 27, 2011
Can Opener Capsulotomy for Cataract Extraction
Viewed 2907 times since Tue, Nov 16, 2010
Removal of Pin
Viewed 996 times since Fri, Aug 17, 2012
Drainage Tube Removal
Viewed 4824 times since Mon, May 2, 2011
Viewed 670 times since Thu, Oct 27, 2011
Post Central Line Insertion Chest X Ray
Viewed 6871 times since Wed, Feb 23, 2011
CPT Coding Ligation/Cauterization Corpus Luteum
Viewed 3273 times since Thu, Aug 4, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506