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Thread: Dilitation of the duodenum

  1. #1
    Join Date
    Apr 2007

    Default Dilatation of the duodenum

    AAPC: Back to School
    Which code is the most appropriate for a TTS dilitation (through the scope) of the duodenum? I used 43245. What are others doing?
    Last edited by rhaney88; 04-04-2011 at 10:04 AM.

  2. #2


    Using 43245 is used specifically to dilate the pyloric sphincter supported by ICD-9 code of gastric outlet obstruction. If the stenosis is further in the duodenum, you can use 43248, or use your small bowel push codes if the stenosis is beyond the 3rd portion of the duodenum.

    Mary Jo Russman, CPC,CGIC
    Cleveland Clinic Digestive Disease Institute

  3. #3


    We bill out the unlisted code and assign a fee amount comparable to our fee for the gastric outlet dil (43245). There is no specific CPT for a duodenal dil. The 43248 is a savory/guided dil for the esophagus.

    Linh Nguyen, CPC
    Gastroenterology Associates

  4. #4
    Join Date
    Apr 2007


    i agree with the use of the unlisted code

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