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maloney dilation, no change, still use code?

  1. Default maloney dilation, no change, still use code?
    Medical Coding Books
    Hey All,

    I have a doctor who performed an EGD with a Maloney dilation and dictates, "a 56'French Maloney dilator went down through the esophagus into the stomach without any apparent change. I did not see any tear that was noted because of the dilation. The scop was withdrawn.

    The EGD was all fine and well, but do I code for the dilation? My instinct tells me the procedure was done so code for it, but I'm wondering if there are other opinions.



  2. #2
    We code 43450 in addition to the EGD code when a Maloney is done. Hope this helps!
    Susie Corrado, CPC
    ENT Coding/Billing

  3. Default
    I would usually code for both the EGD and Maloney, but when the dilator went in and out without any change or resistance I didn't know if it should still be coded.


  4. #4
    Since the physician actually performed the procedure I would bill for it.

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