Forum - Questions & Answers

Feb 17th, 2011 - lisaGCPC

Esophagogastroduodenoscopy with Dilation of the gastric jejunostomy

Physician performed a serial dialation of the anastomotic stricture due to complications following the laparoscopic Roux-en-Y gastric bypass. What CPT® Code would be used?

Feb 18th, 2011 - j.berkshire 7 

dilation

I suggest using 43245 as this stricture is located at the gastric outlet in patients with altered anatomy. If the procedure note supports a complicated process using serial dilators, you might try modifier 22, although it is difficult to get extra reimbursement from most payers.

Jenny Berkshire, CPC, CGIC, CEMC



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