Sherry Posted Tue 06th of February, 2018 04:26:29 AM
evidence of sleeve gastrectomy was found in the entire examination of stomach it had a mild stenosis in the mid stomach
using the wire as guide , dilation with a 30mm pneunatic balloon was performed under fluoroscopic guidance, the balloon was inflated to 10-15 PSI also pylorus partially dilated
since he used a 30mm diameter i am suppose to use the 43233
Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) but this was the stomach and i know it says this is for esophagus
or am i still suppose to use 43245 Esophagogastroduodenoscopy,with dilation of gastric / duodenal stricture
SuperCoder Answered Wed 07th of February, 2018 00:45:49 AM
As per documentation provided, code 43245, Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie), should be appropriate. Thank you.