Wiki EGD with control of bleed AVM

[kbreeden]

My physician has documented on a note:

1. 2 ulcers in the antrum of the stomach. One of which did have visible vessel. Epinephrine was injected in the vicinity of the vessel and gold probe was used for thermal coagulation.
2. Within the duodenal bulb large ulceration in a circumferential fashion 3ml of epinephrine was injected into the ulcer within the duodenal bulb. Gold probe was then utilized for thermal coagulation.

No mention of active bleeding. Is it appropriate to code control of bleed with no active bleeding.

I was at a seminar recently and I thought it was stated to code "ablation" because no active bleeding.

 

[beherron]

I have this same scenario but there is no response to the question. Provider insists 43255 is the appropriate CPT due to the "risk of bleed" but documents "non-bleeding ...." for both identified ulcers and visible vessel. I believe 43270/43236 to be correct coding but not finding specific verbiage for control of bleed as "active bleeding".