tci General Surgery Coding Alert - 2019 Issue Q3

Reader Question: Manage Large Balloon Dilation Case

Question: Our surgeon performed an EGD on a patient with achalasia, and the notes stated “a diagnostic EGD was used to visualize, balloon was inserted with fluoroscope to visualize the inflation of the balloon and dilation was achieved with a balloon > 30 mm.” How should I report the EGD? In another case, the physician used balloon dilation for removal of foreign bodies. What are the procedure codes for this? California Subscriber Answer: When surgeons resort to dilation by balloon greater than 30 mm diameter during an esophagogastroduodenoscopy (EGD) for treatment of achalasia, it usually means the...

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