My coding companion's explaination of 42953 is:
"the physician repairs a tear at the pharyngeal esophageal junction. After airway is secured, the physician makes a horizontal neck incision and retracts superficial tissues to expose the pharyngeal esophageal junction. The defect is identified, irrigated to reduce infection, and closed in sutured layers"
the Coding tips state:
"For closure with myocutaneous or other flap, use the appropriate code in addition to 42953"
(2009 Ingenix ENT/ Allergy/ Pulmonology: pg 455)
I would be interested to see what anyone else thinks. I can't find another code that is appropriate based on the documentation you list... Maybe more extensive repair?
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