AMA CPT® Assistant - 2018 Issue 4 (April)

Surgery: Digestive System (Q&A) (April 2018)

April 2018 page 11a Surgery: Digestive System Question: What code should be reported if a chemotherapeutic substance was injected into a pancreatic tumor utilizing a transoral endoscopic ultrasound-guided (EUS) needle? The loaded EUS needle is advanced transorally through the stomach wall into the pancreatic tumor and releases the chemotherapeutic substance. Answer: It would be appropriate to report CPT code 43253, Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the...

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