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Attempted EGD

B

bgarofalo

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How do I code an attempted EGD?

My physician attempted an egd on a patient with primary tongue CA who had multiple therapies including ratiation and surgery. He was unable to advance the scope throuth the UES due to either a radiation stricture or an exclusion.
 
This is a classic example of the use of modifier -53 (discontinued procedure...due to extenuating circumstances it may be necessary to indicate that a surgical or diagnostic procedure was started, but discontinued.) I would bill this with 43235-53.
 
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