tci General Surgery Coding Alert - 2023 Issue Q1

Reader Questions: Match Code Selection to Documented EGD Work

Question: Our surgeon advanced a scope through the esophagus into the stomach using ultrasound guidance to perform an FNA of a suspicious mass. How should we code this? Ohio Subscriber Answer: Based on the information you provide, the most appropriate code may be 43242 (Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)). You state that the surgeon used endoscopic ultrasound (EUS) and that scope advances to the stomach, which...

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