tci General Surgery Coding Alert - 2009 Issue 14

Reader Question: Distinguish Hemostasis Methods

Question: Using an endoscope, the surgeon "maneuvered an endoloop in the gastric antrum over the stalk of a single 20 mm pedunculated polyp, closed the loop at the mucosal attachment, and removed the polyp." What code describes this procedure? Montana Subscriber Answer: Code the procedure as 43251 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of tumor[s], polyp[s], or other lesion[s] by snare technique). An endoloop is a detachable snare device used for hemostasis during procedures such as endoscopic polyp removal. Because the endoloop uses "snare technique," 43251 is...

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