tci General Surgery Coding Alert - 2006 Issue 2

Reader Questions: Argon Plasma = Control of Bleeding

Question: Our surgeon performed an EGD with Argon plasma coagulation for control of bleeding. What's the appropriate code for this?Illinois Subscriber Answer: You should select 43255 (Upper gastrointestinal endoscopy including esophagus, stomach and either the duodenum and/or jejunum as appropriate; with control of bleeding, any method) for Argon plasma coagulation (APC) during EGD. Code 43255 describes EGD with control of bleeding by any method.APC involves using argon gas and electrical current to seal irregular tissue without any direct contact. This technique is useful in treating conditions such as Barrett's esophagus, esophageal cancer, rectal bleeding (post-radiation proctitis) and...

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