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esophagogastrojejunoscopy with Hydraulic Balloon dilation

Crisleyla Posted Wed 22nd of February, 2012 18:59:15 PM

I was doing sample gastro cases over the weekend for education and was stumped and was hoping someone could help me. It was a esophagogastrojejunoscopy with Hydraulic Balloon dilation.

The mucosa of oropharynx was viewed. Proximal, middle, and lower segment of esophagus norm. Proximal gastric pouch was intact. Stoma was 0.5 in diam so Hydraulic balloon dilator was gently introduced and dilated to 1.2. Then deflated. So should I be looking at 43245 or unlisted?
I am kind of all over the place with this one...

SuperCoder Answered Wed 22nd of February, 2012 20:07:12 PM

I also researched on this and did not get exact Hydraulic balloon dilation code. CPT 43245 says EGD with dilation by any method (so may be balloon, guidewire, boogie) etc. So I hope you should use this one rather unlisted. But again, hydraulic means balloon should be dilated by pressure of water or other liquids and it is lacking for selecting 43245.

Crisleyla Posted Wed 22nd of February, 2012 20:11:38 PM

Thanks :) I have tried to find something that is also all i come up with. I guess what is throwing me off is that they dilated the stoma... so that is what is having me go back and forth...

SuperCoder Answered Wed 22nd of February, 2012 20:14:50 PM

Okay. Need some time to more research on this and give you final opinion for using this code or unlisted one.

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