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Endoscopy with bougie dilation

C

chetubig001

Networker
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37
Location
Fair Oaks, CA
I have a Dr. who did a full endoscopy reaching the duodenom and also using a bougie to dilate the esophagus with a 54 french. Would I use a 43450 (manipulation of esophagus with bougie) and a 43235 OR a 43248 which includes the endoscopy but doesn't specify bougie?
 
CPT 43248 specifies EGD with dilation over a guide wire which is not the same as an unguided bougie dilator. You are correct to use 43235 and 43450 if it was an unguided dilation. No modifiers are necessary.
 
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