CPT^® 43226, Under Esophagoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43226 as maintained by American Medical Association, is a medical procedural code under the range - Esophagoscopy Procedures.

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Summary

An esophagoscopy is a procedure to view the esophagus, in this case by means of a flexible endoscope passed through the mouth. The provider then passes one or more dilators over a guidewire to treat a narrowing of the esophagus.

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43239, 43226 & 43450

I had the same confusion not too long ago and had to learn the long hard way :D My initial thought was 43239 with 43226 ... they I received denials and rejections, so I began using the -59 modifier .... [ Read More ]

Upper GI What CPT would you use??

You have to bill 43220 or 43226 in order to bill for the S&I code 74360... and I don't think either of those codes support the documentation as the physician uses an endoscope. I would look closer at ... [ Read More ]

Chiroprator orders for MRI/CT

[QUOTE="vballew, post: 206561, member: 43226"]We have read that Chiropractor's cannot order MRI/CT for Medicare/Medicaid. With that being said can the radiologist order an MRI/CT for the chiropractor... [ Read More ]

43239, 43226 & 43450

My physician performed and documented both dilation techniques; Esophagus: There was a tight stricture at 20 cm. This would not allow the scope to pass. It was biopsied x4. With manipulation a guide ... [ Read More ]

Help! Hospital Consults and Subsequent Visits

[QUOTE="vballew, post: 55725, member: 43226"]When are you supposed to bill for subsequent hospital visits? Are they supposed to be included in the surgery? We are having trouble with getting Hospital... [ Read More ]

Esopageal dilation

I need some input. I have a op report that states that the esophagus was dilation with Maloney dilators sizes 30 to 38. 43220 amd 43226 just don't seem to fit based on the op report. I have attached t... [ Read More ]

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