AMA CPT® Assistant - 2013 Issue 3 (March)
Surgery: Digestive System (Q&A) (March 2013)
March 2013 page 13d Surgery: Digestive System Question: If a physician performs an endoscopic repair of Zenker's diverticulum, what code would be reported? Answer: There is not currently a CPT code that accurately describes a Zenker's diverticulum repair. Therefore, this procedure may be reported with code 43499, Unlisted procedure, esophagus. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the procedure, and the time, effort, and equipment necessary to provide the...
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