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Thread: EGD with Savory guide dilation and Maloney dilation

  1. #1

    Default EGD with Savory guide dilation and Maloney dilation

    AAPC: Back to School
    Hey all,

    I have a doctor who did a regular egd then dilated the esophagus with savory guide wire, then after used a 52-french maloney dilator. Should I code for both dilations or not? Any help would be appreciated.


  2. #2
    Join Date
    Apr 2007


    just code for one

  3. #3
    Join Date
    Apr 2007


    I would suggest you code both as 43248, 43450-59. CCI bundling edits prohibit billing for a failed dilation as described below from CCI's most current version, and your brief description does not sound as if it fits this scenario. Note 43450 is a column two edit with 43248, but has a column indicator that 59 modifier is appropriate.

    7. If esophageal dilation as described by CPT codes 43450-43458 fails and is followed by an endoscopic esophageal dilation procedure, only the endoscopic esophageal dilation procedure may be reported. The physician should not report the failed procedure.
    Jenny Berkshire, CPC, CEMC, CGIC

  4. #4


    Well neither of the dilations were endoscopic so I guess coding for one would be the correct method. Thanks for all the help, this one was new to me, as is coding in general I guess,

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