Results 1 to 3 of 3

EGD with esoph balloon dilation

  1. #1
    Default EGD with esoph balloon dilation
    Medical Coding Books
    Patient in for EGD diagnostic (43235)
    Preop indications; dysphagia & history of benign esophageal stricture

    Found esophageal stricture at 37 cm and scope would not pass.
    Dilation of distal esophageal with #16.5 & #18 hydrostatic balloon.
    Then proceeds to stomach and duodenum.

    Physician has indicated 43235 & 43220

    However there is a Medicare CCI Edit of (0) in place with this code combination.

    Any suggestions on how to get her paid for both services performed?

    In other cases she used the dilator for dilation (43450) which is billable with EGD.

    Fairly new to GI billing and thankful for your help.


  2. Default
    Check 43249, I believe that is the appropriate code. I have seen some of my doctors wanting the 43235 with 43220 when they do the dilation after the EGD, but i would say 43249 especially when it is right in the middle of the EGD.


  3. #3

    thank you so very much for taking the time to reply
    this was so helpful
    hope you have a good day

Similar Threads

  1. EGD w/ esoph dilation & kenalog injections
    By plynn in forum Gastroenterology
    Replies: 1
    Last Post: 11-15-2013, 10:46 AM
  2. Cpt for egd balloon dilation of duodenum
    By MSVIV57 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-12-2012, 10:39 AM
  3. EGD with Balloon Dilation of anastamosis
    By bethh05 in forum Outpatient Facilities
    Replies: 2
    Last Post: 11-29-2011, 01:36 PM
  4. EGD with Savory guide dilation and Maloney dilation
    By in forum Gastroenterology
    Replies: 3
    Last Post: 12-29-2010, 08:48 AM
  5. EGD with wire guided balloon dilation
    By coderguy1939 in forum Gastroenterology
    Replies: 10
    Last Post: 12-02-2008, 02:41 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.