AMA CPT® Assistant - 1997 Issue 12 (December)

Digestive System, 43235, 43248, 43453 (Q&A) (December 1997)

December 1997 page 11-end Coding Consultation Digestive System, 43235, 43248, 43453 (Q&A) Question My physician performed an esophagogastroduodenoscopy (EGD) with dilation of the esophagus over a guide wire. We reported CPT code 43235 for the EGD and code 43453 for the esophageal dilation. Did we code this correctly? AMA Comment From a CPT coding perspective, separate codes are not required to report the endoscopic procedure (EGD), the subsequent passage of the guide wire, and the subsequent dilation itself. All of those steps are included in a single code 43248, Upper gastrointestinal endoscopy including esophagus, stomach, and either the...

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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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