AMA CPT® Assistant - 2015 Issue 11 (November)

Surgery: Digestive System (Q&A) (November 2015)

November 2015 page 11 Surgery: Digestive System Question: What is the appropriate CPT code to report a transnasal esophagoscopy with wire-guided balloon dilation? Answer: Report code 43499, Unlisted procedure, esophagus, as there is no transnasal esophagoscopy code that includes this work. When reporting an unlisted code to describe a procedure or service, it will be necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, need for the procedure; and the time, effort, and equipment necessary to provide the service. Surgery: Digestive System (Q&A) (November 2015). CPT®...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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