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Sherry Posted 1 Year(s) ago
I have an EUS that is being done on a patient, the physician has done the following and i'm conflicted if i need to use the injection code or the unspecified code: "Endosonographic imaging of the pancreas showed sonographic changes indicative of moderate-severe chronic pancreatitis in the entire pancreas. The parenchyma had diffuse echogenicity, hyperechoic strands, hyperechoic foci, hypoechoic foci and lobularity. The pancreatic duct had duct dilation. The pancreatic duct measured up to 3 mm in diameter. Endoscopic Finding : A previously placed cystgastrostomy stent was found in the gastric body. LAMS were removed. Type 1 isolated gastric varices (IGV1, varices located in the fundus) were found in the cardia. There were stigmata of recent bleeding. They were medium in largest diameter. A 22G needle was advanced into the gastric feeder varix and multiple 0.018 2 cm coils were deployed to ablate the varix" Which is the right CPT codes to use in this case? Would is be 43259 and unspecified or would you bill this as an injection code?
SuperCoder Posted 1 Year(s) ago


There is no specific code for the above stated procedure. CPT code 43259 seems to be correct for one part of above stated procedure. It seems appropriate to use unspecified code for this scenerio.


Hope this helps!

Sherry Posted 6 month(s) ago
Great, so you definitely agree that CPT code 43253 shouldn't be used for the Coil injection then right? That was where we were conflicted on.
SuperCoder Posted 6 month(s) ago


CPT code 43253 is used for examination of  the upper gastrointestinal tract and  transendoscopic ultrasound-guided transmural injection. There is no such specific code for above stated procedure.

Hope this helps!

Posted by Sherry, 1 Year(s). There are 4 posts. The latest reply is from SuperCoder.

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