AHA Coding Clinic® for HCPCS - 2017 Issue 4; Ask the Editor

Transoral endoscopic Zenker’s diverticulostomy

A patient with dysphagia and a Zenker’s diverticulum was scheduled to undergo a transoral endoscopic Zenker’s diverticulostomy. According to the operative report, utilizing the CO2 laser, the party wall was divided, completely cutting through the cricopharyngeus muscle. This eliminated the Zenker’s pouch and allowed for communication with the esophagus anteriorly. What is the appropriate CPT code for a transoral endoscopic Zenker’s diverticulostomy with CO2 laser? CPT code 43180, Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (Zenker’s diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed, seems close, but this does not mention use of CO2 laser or other method to treat Zenker’s diverticulum. ...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.

The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.