Wiki EGD with APC ablation and closure of gastrocutaneous fistula with clips

loriroberts36

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I am looking for a CPT code for an EGD with APC ablation and closure of gastrocutaneous fistula with clips. Would 43270 work for this therapy? Here is the op note...

· Normal esophagus. Normal gastric mucosa. Normal duodenum including D1 and D2.
· The external cutaneous side of the fistula silver nitrate was applied after careful cleaning with chlorhexidine.
· Following this, endoscopy was performed, APC ablation was performed on the gastric side of the fistula, and at the fistula. 3 clips were applied

I have not found much information on how to bill for this procedure. Any help is appreciated.
 
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