What codes do we use for an EGD with biopsy and esophageal dilation over guide wire? We currently use codes 43248 (REVISED IN 2014) and 43239 (REVISED IN 2014). Are these correct? ...
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Article Overview
This short coding Q&A explains how a combined upper gastrointestinal endoscopy service is approached when both biopsy and esophageal dilation are part of the same encounter. It is relevant to gastroenterology coders, billing staff, and revenue cycle teams looking to confirm the applicable CPT reporting framework and related modifier use discussed in the article.
Why This Topic Matters
Combined endoscopic procedures often require careful code selection and modifier awareness, so understanding the article can help coding staff validate how the service is described for reporting purposes.
What You Will Learn
- How an upper gastrointestinal endoscopy encounter with more than one service is discussed for coding purposes
- What coding topics are involved when biopsy and esophageal dilation are performed in the same session
- How modifier use is presented in the context of the reported service
- Which CPT reporting concepts are referenced for this type of gastroenterology procedure
Who Should Read This
- Medical coders
- Outpatient facility billing staff
- Gastroenterology coding specialists
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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