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Reader Questions: Achalasia Requires Unique Code

Published in Gastroenterology Coding Alert, June 2010

Question: My gastroenterologist used an esophageal dilation to treat achalasia (530.0) by breaking the lower esophageal sphincter muscle fibers with a balloon dilator larger than 30 mm in diameter. Which codes should I use to report this procedure?Oregon Subscriber
Answer: You should report 43458 (Dilation of esophagus with balloon [30 mm diameter or larger] for achalasia). Because there’s a definite risk of perforation with this procedure, your physician likely used an endoscope to visualize the esophagus [...]


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Published in Gastroenterology Coding Alert, June 2010
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