Forum - Questions & Answers

Apr 6th, 2015 - rphelps 615  1 

Upper endoscopy

Endo with heater probe for hemostasis. Would be 43255 be appropiate?

Apr 15th, 2015 - reetown3 5 

re: Upper endoscopy

Hello. I would use 43255( control of hemorrhage) since hemostasis means arrest/stopping the flow of blood. Pay close attention to if there is another procedure in the EGD family done, if bx or dilation is done for another dx reason, it is important to place your 59 modifier on 43255. I understand the 43255 may have a higher RVU. But putting the 59 on the 43255 let the insurance company aware that the bleed was not caused during the procedure. Hope this helps, please have a great day

Apr 15th, 2015 - ccurran 4 

re: Upper endoscopy

From the CDR
Control of bleeding may be achieved using several endoscopic methods including laser therapy, electrocoagulation, rubber band ligation, and injection of the bleeding vessel with sclerosants, ethanol, or adrenaline.

I would absolutely use this code for a heater probe for hemostasis.

Apr 15th, 2015 - rphelps 615  1 

re: Upper endoscopy

Thanks a bunch.

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