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Unlisted Procedure Code???

  1. #1
    Default Unlisted Procedure Code???
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    My Dr. used an unlisted procedure code for this example, but I wondered if anyone has something else in mind..........
    "Evidence of a gastric bypass was found. A large gastric pouch was seen. The gatrojejunal anastomosis was characterized by moderate stenosis. A TTS dilator was passed through the scope. Dilationwith a 36 Fr balloon and 39 Fr balloon dilator was successfully performed."
    Thanks in advance for your help!

  2. #2
    The patient has surgically altered anatomy, and the anastamosis site is the gastric outlet. The stenosis at the gastric outlet is dilated with a TTS balloon. I would code this as CPT 43245.
    Jenny Berkshire, CPC, CEMC, CGIC

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