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Upper GI-repositioning Stent

Eleen Posted Thu 04th of October, 2012 14:52:47 PM

Procedure:
The previously placed fully covered esophageal stent had migrated into the stomach. The partially obstructing esophageal
mass in the distal esophagus was traversed with the 9mm gastroscope. There was some retained liquid within the
stomach that was removed with suction. Using a rat-toothed forceps, the migrated esophageal stent was pulled back into
the esophagus and repositioned under fluoroscopic guidance so that it was traversing the esophageal mass. The proximal
edge of the stent was then secured to the esophageal mucosa with three hemoclips to help reduce the risk of migration.- Previously placed fully covered esophageal SEMS had migrated into the stomach.
- This was repositioned across the esophageal mass under fluoroscopic guidance.Three hemoclips used to help reduce the risk of stent migration.

Will this just be cpt 43235?

SuperCoder Answered Thu 04th of October, 2012 20:08:56 PM

As no new placement/insertion of stent is there, I would also go with 43235 here.

Code 43256 is the only one code you can bill for the stenting procedure which includes the insertion of the scope, guidewire placement, tumor dilation (predilation with a balloon dilator) and stent deployment. All of these services are included in the fee for the stent placement, and cannot be billed separately.

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