AMA CPT® Assistant - 2010 Issue 12 (December)

Surgery: Digestive System (Q & A) (December 2010)

December 2010 page 12b Surgery: Digestive System Question: Will the CPT 2011 codebook include a new code representing endoscopic repair of a Zenker’s diverticulum? Leigh Kremer, CENTCS, Duluth, MN Answer: No, the CPT 2011 codebook will not include a new code for this procedure. Zenker’s diverticulum is a pouch found off of the cervical esophagus that may cause swallowing difficulties (dysphagia), regurgitation, and weight loss. Currently, there is no specific CPT code to describe endoscopic removal of Zenker’s diverticulum. Based on the anatomic approach used, code 43499, Unlisted procedure, esophagus, should be reported. It is not...

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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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