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Thread: Please help with Coding EGD

  1. #1

    Default Please help with Coding EGD

    AAPC: Back to School
    Hi -Wondering if someone would help with the following:
    EGD,BX of duodenum, Cold Bx and polypectomy with cold bx bites.
    Thinking it would just be the 43239 TIA
    Deb, CPC

  2. #2
    Join Date
    Apr 2007
    Beaverton, Oregon Chapter

    Smile EGD, Bx of duodenum

    Did the doctor actually do a gastric polypectomy? If so, when I code for polypectomy
    (43251), the polyp is always sent to pathology, not necessary to code for the biopsy also. Or did the doc just do a Bx of the duodenum? If so, (43239) would be what I would use.

  3. #3
    Join Date
    Apr 2007


    It sounds as if you have two interventions (cold biopsy and snare). Billing for both depends if the interventions were on separate lesions/polyps. If you have different interventions on different lesions, it would be coded as 43251, 43239-59.
    Jenny Berkshire, CPC, CEMC, CGIC

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