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EGD with rubber band ligation for suspicious lesions - no record of varices

Tanesha Posted Wed 19th of February, 2020 00:43:35 AM
I have 43236 and 43251, but rubber band ligation was used on the suspicious area. Unable to code 43244 as no varices. OP Excerpt: In the cardia just below the Z line, in one spot I could tell that there is a residual polyp without being hundred percent sure. The area is very difficult to inspect in antegrade and retrograde fashion First I decided to inject saline underneath the most suspicious lesion to lift it up then one rubber band ligation applied to the suspicious area after sucking it inside the cup. By sucking on the surrounding horizontal area I felt that there could be possibly a residual intestinal metaplasia or possibly adenoma so I decided To apply two others rubber bands to the surrounding adjacent areas in the cardia then each lesion hot snared
SuperCoder Answered Thu 20th of February, 2020 02:11:17 AM

Hi Tanesha,


Thanks for your question.


Since the removal of the lesion was finally achieved by hot snare technique, the code for hot snare should be reported i.e. 43251 instead of code for band ligation i.e. 43244. There is no CCI edits between codes 43236 and 43251. So, code 43236 can also be reported for injection to lift the lesion.

Please feel free to write if you have any question.



Tanesha Posted Sat 22nd of February, 2020 14:48:28 PM
Thank you for your help.
SuperCoder Answered Mon 24th of February, 2020 00:05:08 AM

Happy to Help!

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