tci General Surgery Coding Alert - 2011 Issue 8

Reader Question: 44363 Goes the Distance

Question: Our surgeon performed an endoscopy, viewing the esophagus, stomach, and duodenum before identifying and removing a blockage containing a small ball from a child's jejunum. Should we report 43247 since the code states either duodenum and/or jejunum?Tennessee SubscriberAnswer: No, the correct code for the foreign body removal in the jejunum is 44363 (Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body). Although 43247 (Upper gastrointestinal endoscopy including esophagus, stomach and either the duodenum and/or jejunum as appropriate; with removal of foreign body) states"duodenum and/or jejunum as appropriate," the...

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