tci General Surgery Coding Alert - 2019 Issue 6

You Be the Coder: Remember Multiple-Endoscopy Rule

Question: An endoscopic PEG tube placement procedure required some extra work, and I’m wondering how to code it. The surgeon performed the initial scope balloon dilation at the start of the procedure. But the esophageal tract narrowed, and the surgeon had to dilate it again, this time through blind bougie dilation. Can I code the second dilation separately? Super coder Subscriber Answer: No. Based on Correct Coding Initiative (CCI) edits the blind bougie dilation (43450, Dilation of esophagus, by unguided sound or bougie, single or multiple passes) is bundled as a column 2 code with the initial dilation...

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