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EGD w/EUS

Amber Posted Mon 15th of September, 2014 09:33:12 AM

If the patient has an EGD and an EUS, the EGD is done then the EUS is goes to the stomach and the tail of the pancreas with a mass is identified and biopsy needle was used to obtain malignant cells? 43238 or 43242

SuperCoder Answered Mon 15th of September, 2014 10:28:49 AM

Thanks for your question. 43242 is the better code. 43242; Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis). This code can be used when the physician takes a biopsy beyond the esophagus and is commonly used when a physician biopsies or aspirates a pancreatic pseudo cyst. See the attached link for addition information.

http://www.supercoder.com/coding-newsletters/my-gastroenterology-coding-alert/coding-tactics-tips-help-unscramble-your-endoscopic-ultrasound-with-egd-coding-110975-article

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