tci General Surgery Coding Alert - 2013 Issue 8

Reader Question: 43314 Depends on Diagnosis

Question: What’s the correct coding for a rigid bronchoscopy, right thoracotomy with division of tracheoesophageal fistula, and repair of esophageal atresia using a thoracic approach?Illinois Subscriber Answer: The correct answer depends partially on the patient’s condition. If the patient suffers from a true congenital esophageal atresia, the best code would be 43314 (Esophagoplasty for congenital defect [plastic repair or reconstruction], thoracic approach; with repair of congenital tracheoesophageal fistula), which covers the fistula repair and the atresia repair. On the other hand, if the patient suffers from an acquired atresia related to the fistula, the proper code...

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