AMA CPT® Assistant - 2011 Issue 6 (June)

Surgery: Digestive System (Q&A) (June 2011)

June 2011 page 13b Surgery: Digestive System Question: If an upper esophagogastroduodenoscopy (EGD) is performed with endoscopic mucosal resection (EMR) of a tumor using a band/ring with resection, may code 43244 or code 43251 be reported? Answer: No. There is no specific CPT code to describe performance of an upper gastrointestinal endoscopy with endoscopic mucosal resection (EMR) using a band/ring. Therefore, code 43999, Unlisted procedure, stomach, should be reported. It is not appropriate to report code 43244, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with band ligation of esophageal and/or gastric varices...

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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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