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Thread: EGD with Dilation

  1. #1
    Join Date
    Apr 2007

    Default EGD with Dilation

    AAPC: Back to School
    Help, Please? I have the following:

    DESCRIPTION OF PROCEDURE: After informed consent was obtained, the patient
    was placed in the supine position in the radiology suite. After adequate
    sedation had been achieved, the endoscope was inserted over the tongue and
    through the posterior pharynx under direct visualization into the
    esophagus. In the mid esophagus, a very tight stricture was found, which
    would not allow passage of the scope. Under fluoroscopy, a Savory
    guidewire was placed through this and into the stomach. The stricture was
    then dilated with passage of a 27 French gauge Savory dilator without
    resistance. A 36 French gauge dilator passed with moderate resistance. A
    42 French gauge Savory dilator would not pass without excessive resistance.
    The scope was reinserted. Only a very small amount of mucosal trauma was
    identified. A CRE balloon was then inserted and under visualization, it
    was placed into the stricture. This was inflated to 12 mm and held for one
    minute. The balloon was then deflated. The scope was able to be slightly
    advanced about 2 cm but then stopped. The balloon was reinflated to 12 mm
    and held for an additional minute. The scope would not pass through the
    stricture at this point. The balloon was then reinflated to 13.5 mm and
    held for one minute and finally to 15 mm and held for one minute.
    Unfortunately, when the balloon was deflated and withdrawn, the scope still
    would not pass through the stricture. A decision was, therefore, made to
    terminate the endoscopy.

    I have never had a physician use 2 different types of dilation. I know they aren't bundled, but can we charge both? I know there will have to be a 53 modifier used since he had to terminate the procedure, but how would you code?


    Michele Hayes, CPC, CGIC

  2. #2
    Join Date
    Apr 2007


    Michele, you cannot bill for both endoscopies. Either one or the other if it is the same lesion, which in this case it is. Choose the one with the higher RVU and bill for that. Hope this helps!

  3. #3
    Join Date
    Apr 2007


    That's what I thought. Thanks for the confirmation


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