Eleen Posted Wed 22nd of November, 2017 11:01:13 AM
If dilation by one method is done in distal esophagus and dilation on proximal esophagus with another method...are these considered different locations? so can both 43248 and 43249 be billed in this case?
Multiple severe benign-appearing, intrinsic stenoses were found at the cricopharyngeus and throughout the esophagus up
to the GEJ. The narrowest stenosis was at the distal esophagus and measured 12 mm (inner diameter) x less than one cm
(in length) and was traversed with the 10mm endoscope. The distal esophagus was dilated with a 15mm balloon. A
guidewire was placed and the scope was withdrawn. Dilation of the proximal esophagus was performed with a Savary
dilator with mild resistance at 45Fr. The exam of the esophagus was otherwise normal.
SuperCoder Answered Thu 23rd of November, 2017 03:22:07 AM
It is ok to bill both the codes 43248 and 43249 together. Thank you.