tci General Surgery Coding Alert - 2015 Issue 10

You Be the Coder: Detail Maloney Bougie Dilator

Question: Our surgeon performed an esophagoscopy on a Medicare patient before the insertion of a Maloney bougie dilator. What is the correct code, and is it different for a guide wire dilation? SuperCoder Subscriber Answer: No matter how you code it, Medicare’s multiple-procedure rules will apply and you can expect 100 percent payment for the primary and highest paying procedure. Depending on the extent of esophagoscopy procedure performed by your surgeon, you may report one of the following: 43191 — Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) 43200 &mdash...

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