tci ED Coding & Reimbursement Alert - 2007 Issue 10

READER QUESTIONS: Check for E/M on Esophageal FBR Claims

Question: A frantic parent brought a child into the ED after the child swallowed a foreign body (FB). The physician removed the FB from the patient's esophagus with an endoscope. What CPT code best represents this FB procedure?Minnesota Subscriber Answer: You should choose 43247 (Upper gastrointestinal endoscopy including esophagus, stomach and either the duodenum and/or jejunum as appropriate; with removal of foreign body) for the FB removal. Also, attach ICD-9 code 935.1 (Foreign body in esophagus) to 43247 to represent the FB. E/M alert: You might want to check your physician's notes on this encounter for evidence...

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