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Gastroenterology Coding Alert

Gastroenterology Coding:

Get to the Bottom of This EGD and Botox Injection Coding Mystery

Published on Fri May 09, 2025

Question: I have a procedure report for an esophagogastroduodenoscopy (EGD). The gastroenterologist performed the EGD and identified achalasia. They used 25 mm balloon dilation and injected 100 units of Botox. Can I report 43249 and 43236-59 if it’s the same site? Wisconsin Subscriber Answer: No, you cannot report 43249 (Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than [...]
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