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Pyloric channel dilatation????

  1. #1
    Default Pyloric channel dilatation????
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    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!
    Susie Corrado, CPC
    ENT Coding/Billing

  2. #2
    How about 43239 and 43245???

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

  3. #3
    After looking more closely at the CPT book, I would use both of those codes with a -59.

  4. #4
    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!
    Susie Corrado, CPC
    ENT Coding/Billing

  5. #5
    Actually, I used my 3M software first, then checked the book to confirm so it just goes to show

  6. #6
    43239 AND 43245 are not bundled. You should use the -51 modifier.

  7. #7
    I HIGHLY disagree with the -51. Stick with the -59 to get paid....

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