Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci General Surgery Coding Alert - 2017 Issue 6
You Be the Coder: Code This Esophagectomy Case
Question: The surgeon performed an open esophagectomy of the abdominal esophagus and removed a portion of the proximal stomach, reconnecting the remaining esophagus to the stomach. The patient had been diagnosed with Barrett’s esophagus, but the pathology report on this surgical specimen shows adenocarcinoma. How should we code the case?
Ohio Subscriber
Answer: The procedure you describe is 43122 (Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty). You’ve documented a partial esophagectomy with proximal gastrectomy. Although you don’t mention that the surgeon widened the pyloris, a step...
To read the full article, sign in and subscribe to tci General Surgery Coding Alert.
Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.
Current newsletters added each month
Fully searchable archives - over 2100 articles
ALL years/issues back to 1999 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.
Quick, Current, Complete - www.findacode.com