tci General Surgery Coding Alert - 2022 Issue Q3

Reader Questions: Choose Complete Esophagoscopy Code

Question: During an esophagoscopy procedure, the surgeon performs balloon dilation to address an obstruction prior to placing a stent. Should we report this as 43214 for the balloon dilation and 43212 for the stent placement? Ohio Subscriber Answer: No, reporting 43214 (Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)) and 43212 (Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)) together for this case amounts to unbundling. Do this: Report the procedure using 43212 alone. Although the code does...

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