AHA Coding Clinic® for HCPCS - 2019 Issue 3; For Your Information

Pharyngogastric anastomotic dilation

A patient with a history of total laryngectomy, pharyngectomy and esophagectomy with gastric pull-up reconstruction presented with stenosis at the junction of the stomach and pharynx. A laryngoscope was positioned in the oropharynx, followed by dilation with a Maloney dilator. Once the dilation was completed, the distal esophagus was visualized without any additional dilation. The physician has documented this procedure as oral pharyngoscopy with dilation of the esophagus. How is a pharyngogastric anastomotic dilation in the region of the posterior pharynx, coded? ...

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