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Esophagoscopy with Balloon Dilation

bonzaibex

Guru
Messages
191
Location
Arvada, CO
What code is appropriate for the following:
A McGrath was used to lift up the larynx to visualize the CP area. A 32 mm diameter Infinity balloon was inserted under direct visualization. It was serially inflated up to 4-5 ATM, held for 1 minute. Balloon was then deflated. The balloon was then reinserted and inflated for 1 minute. The balloon was then deflated.

Provider staff gave me 43214 (Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)), but a McGrath is a rigid scope. Normally I'd assign 31295 (Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)), but the balloon is >30 mm. Any suggestions?
 
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