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Gastroenterology Coding Alert

You Be the Coder:

Dig Into This Dilation Situation

Published on Tue Apr 23, 2024

Question: Our gastroenterologist performed balloon dilation to address an obstruction prior to placing a stent. Should I report 43220 with 43212? New Jersey Subscriber Answer: While a reasonable assumption, the answer is no. You should not report 43220 (Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter)) with 43212 (Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- [...]
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