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EGD Question

Heidi Posted Tue 23rd of April, 2013 12:14:08 PM

EGD with balloon dialtion of cystgastrostomy, Pancreatic necrosectomy and nasogastric drainage placemnet

Indication: Pancreatic nectosis, abscess
The stomach was entered with ease. The stomach showed debris at the recently created fistula at the lesser curvature. A CRE balloon dilation of the opening was performed to 20mm. then the lesser sac was entered and debris was removed with a snare tripod, roth net and forceps. 3l of NS were used to flush the cavity. At the end of the debridment, viable, mildly oozing granulation tissue was seen. A pigtail nasocystic catheder was placed into th ecavity and clipped with two resolution clips. the Duodenum was normal.
Final Diagnosis: Pancreatic Necrosis

Any suggestions on the CPT coding of this procedure?

SuperCoder Answered Tue 23rd of April, 2013 21:09:59 PM

Pancreatic necrosectomy and nasogastric drainage placement: 48105
EGD with balloon dialtion :43245

Heidi Posted Wed 24th of April, 2013 21:27:55 PM

necrosectomy was done through the endoscopy. There was no surgical incision made. I understand 48105 to be an open procedure. Is this correct?

SuperCoder Answered Thu 25th of April, 2013 17:51:43 PM

In that case there is no choice but to code it with an unlisted code 48999 and compare it with 48105.

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