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Thread: Endoscopy with bougie dilation

  1. #1

    Default Endoscopy with bougie dilation

    AAPC: Back to School
    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?

  2. #2
    Join Date
    Apr 2007


    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.
    Last edited by j.berkshire; 12-03-2009 at 01:35 PM. Reason: text
    Jenny Berkshire, CPC, CEMC, CGIC

  3. #3


    Thanks. That makes sense and that's what I will do.

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