Wiki EGD with FB removal

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songbird4700

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I'm coding for an ASC. Patient was seen for follow-up of Reflux esophagitis and resolved dysphagia. During the procedure, in addition to some mild to moderate antral gastritis, a gastrostomy tube bumper was found and removed. No biopsies were taken. My question is, would I code for a diagnostic EGD (43235) or an EGD with FB removal (43247).

Thanks
 
According to NCCI, CPT code 43247 should not be used for the removal of therapeutic devices like PEG tubes and stents. I would use 43235 w/o bx.
 
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