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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short CPT Assistant Q&A from April 2018 discusses a digestive system surgical coding scenario involving transoral endoscopic ultrasound guidance and injection into a pancreatic tumor. It is relevant to coders and billers working with gastrointestinal endoscopy and interventional digestive system procedures. The article focuses on how the scenario is categorized within CPT and presents a concise answer to the coding question.

Why This Topic Matters

It helps readers identify whether this specific endoscopic ultrasound-guided digestive system scenario falls within the CPT guidance discussed in the article.

Article Sections

  1. April 2018 page 11a

    A short Q&A segment presenting a digestive system coding question and a direct response from CPT Assistant.

What You Will Learn

  • The general CPT topic addressed by the Q&A
  • How the article frames an endoscopic ultrasound-guided digestive system procedure
  • The type of coding guidance provided in this April 2018 discussion
  • Which specialty area the question falls under

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • GI/endoscopy coding professionals

Codes Discussed


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