Question Description
Demonstrate the use of official coding references; and presentingexplanations of concepts or methods. Explain why this resource would bebeneficial to a coder. (read the article below)
QUESTION 4
What would the correct code assignment befor the dilation of a sleeve gastrectomy? Some of our coders haveassigned CPT code 43245 however; the other coders feel that this code isreported for dilation of a gastric outlet so it doesn't seem to be thecorrect code to use.
Would CPT code 43999 be the best code todescribe the dilation of a gastric sleeve procedure via anesophagogastroduodenoscopy (EGD) approach?
ANSWER
Based on the operative note, the scope waspassed into the gastric sleeve … and an area was noted to be stenotic… . The stenosis was dilated without difficulty. Therefore, report CPTcode 43245, Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (e.g., balloon, bougie),for the gastric sleeve dilation procedure performed. Please note, CPTcode 43245 is not limited to the dilation of gastric outlet. Dilation of a sleeve gastrectomy Coding Clinic for HCPCS – Second Quarter 2014 Page: 3
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