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Tiffany Posted Fri 20th of July, 2012 12:50:42 PM

What is the CPT code (s) for endoscopic mucosal resection?

SuperCoder Answered Fri 20th of July, 2012 14:17:50 PM

If your physician is removing a polyp or lesion, use the appropriate endoscopy code, such as 43251 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of tumor[s], polyp[s], or other lesion[s] by snare technique).
There is no procedure code for “endoscopic muscosal resection.” A resection is just the partial removal of a bodily structure, in this case the lining of the esophagus, stomach, or intestines. It’s less aggressive than an “-ectomy.” Look to what’s being treated to see if there’s a more specific procedure code; if not, you may be stuck with an unlisted procedure such as 43499 (Unlisted procedure, esophagus).

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