tci General Surgery Coding Alert - 2019 Issue Q4

You Be the Coder: Master Endoscopic Stent Placement Coding

Question: How should I code a transendoscopic duodenal stent placement? Iowa Subscriber Answer: The correct code for endoscopic duodenal stent placement depends on the base procedure, whether an upper gastrointestinal endoscopy (EGD) or an esophagoscopy. For the EGD, report 43266 (Esophagogastroduo­denoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)). For stent placement during an esophagoscopy, report 43212 (Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)). Basics: Surgeons may insert stents endoscopically to hold open the lumen of the gastrointestinal...

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