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.
Comments Comments
There are no comments for this article. Be the first to post a comment.
Related Articles RSS Feed
Excision Subcutaneous Mass-Left Upper Arm.
Viewed 8101 times since Fri, Jan 21, 2011
Modifier 74 for Colonoscopy
Viewed 1619 times since Tue, Dec 27, 2011
One Inch Laceration
Viewed 1235 times since Fri, May 27, 2011
Screening vs. Diagnostic Colonoscopy
Viewed 2891 times since Wed, Jul 27, 2011
L3260 Heel Wedge Shoe
Viewed 1762 times since Wed, Dec 21, 2011
Modifier -59
Viewed 5289 times since Tue, Apr 2, 2013
Incomplete Colonoscopy
Viewed 1524 times since Thu, Oct 20, 2011
G0260
Viewed 1618 times since Thu, May 3, 2012
Ultrasound Guided Fine Needle Aspiration and Core BX
Viewed 6637 times since Mon, Apr 25, 2011
Strapping
Viewed 593 times since Fri, Nov 2, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506