Wiki Pyloric channel dilatation????

[scorrado]

Hello,

One of my doctor's performed a pyloric channel balloon dilatation in conjunction with an EGD with biopsies. Not sure how to code the dilatation part because code 43249 specifically states esophagus. Anyone have any ideas how I would code the dilatation part?

Thanks for your help!

 

[LTibbetts]

How about 43239 and 43245???

oops...maybe just the 43245? Not sure about coding those together, though.

 

[LTibbetts]

After looking more closely at the CPT book, I would use both of those codes with a -59.

 

[scorrado]

Thanks Leslie! I did not even see the 43245 when I was looking in the CPT book. Just one of those crazy days when what you need is right in front of you and you can't see it. Thanks again!

 

[LTibbetts]

Actually, I used my 3M software first, then checked the book to confirm so it just goes to show ya...lol

 

[mhcpc]

43239 AND 43245 are not bundled. You should use the -51 modifier.

 

[LTibbetts]

I HIGHLY disagree with the -51. Stick with the -59 to get paid....