Question: What code should I use for an upper gastrointestinal endoscopy (EGD) with a mesh stent placement? Are there any other services I can bill for in addition to the endoscopy?
Kansas Subscriber
Answer: When a gastroenterologist places any kind of stent during an EGD, report 43256 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic stent placement [includes predilation]).
If the physician only performed the EGD with stent placement, you cannot bill for any other services - predilation, which some may view as separately billable, is bundled into 43256.
