Lynn Posted Tue 29th of November, 2016 05:20:51 AM
MY DOC DID A RETROGRADE DILATION WITH FLEXIBLE SCOPE THROUGH GASTROSTOMY ADVANCED IT BACKWARDS TO ESOPHAGEAL STRICTURE--THEN ANTEGRADE DILATION PASSING RIGID SCOPE THROUGH MOUTH DOING GUIDEWIRE DILATION WITH FLUOROSCOPY IS 43213 THE ONLY CODE WE CAN BILL HERE? THANK YOU THIS IS TIME SENSITIVE
SuperCoder Answered Wed 30th of November, 2016 04:09:15 AM
Greetings from SuperCoder.com!
- Retrograde Dilation: There is no CPT code for such scenario in which flexible scope is entered through gastrostomy and dilation of esophagus is performed. So you should report this with CPT code 43499 (Unlisted procedure, esophagus).
- Antegrade Dilation: For this, you should report code 43196 and 74360 (for fluoroscopy)
- Please be informed that if there was stricture in the esophagus at one place only and your physician used two methods to perform the dilation of that stricture, then as per guidelines, you can bill only one method by which the procedure has been completed.
Please feel free to write if you have any further questions.