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EGD with Balloon Dilation of anastamosis

  1. #1
    Default EGD with Balloon Dilation of anastamosis
    Medical Coding Books
    The phyisician performs an EGD with biopsy and the patient also had a history of vertical banded gastroplasty with a stricture at the anastamosis, in which he also dilated. Does anyone know if 43245 would be appropriate or 43999 for the dilation? Thanks!!
    Last edited by bethh05; 11-29-2011 at 08:23 AM.

  2. #2
    Charlotte, NC
    Was the stricture actually at the pylorus? If so, yes the 43245 would be appropriate and then a 43239.

  3. #3
    He stated that evidence of a Silastic band was not seen and appeared tight. A TTS dilator was passed throught the scope. Dilation with an 18-19-20mm x 180 cm CRE balloon dilator was successfully performed of the anastamosis.

    I done some research and 43245 would not be appropriate, the vertical banded gastroplasty is performed on the upper part of the stomach. I used the unlisted 43999. Thanks!
    Last edited by bethh05; 11-29-2011 at 02:23 PM.

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