CPT^® 43246, Under Esophagogastroduodenoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43246 as maintained by American Medical Association, is a medical procedural code under the range - Esophagogastroduodenoscopy Procedures.

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Summary

The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum to direct the placement of a tube through the skin and abdominal tissues into the stomach.

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Lap Assisted PEG

Hi. I am trying to research what the correct coding would be for a Lap Assisted PEG procedure. This was done by pediatric surgery and I've cross-posted to peds and gen surg. A laparoscope was used to ... [ Read More ]

PEG w/lap assistance

I have a case where a standard PEG procedure with EGD assistance (43246) was performed, but a laparoscope was inserted simultaneously in the abdomen to view the stomach during the procedure. This is a... [ Read More ]

denial for modifier 62 for PEG

43246 does allow for a mod 62. aetna might require the surgeons to be of different specialties, gastro and gen surgery for example.... [ Read More ]

denial for modifier 62 for PEG

Aetna has been denying our claims for PEG (CPT 43246) w/ modifier 62 stating that multiple surgeons is not allowed for this CPT. I'm trying to draft an appeal letter to accompany op notes from both s... [ Read More ]

Esophagogastro jejunostomy and endoscopic placement of a 12 French nasogastric tube

I came up with 43246.... [ Read More ]

43246 peg placement with injection and placement of endo clips for bleed

Hi all, I have not come across this before are you able to code an injection with a peg 43246? If so what CPT code would I use? Do I code EGD with Bleed as well with a Modifier? PREOPERATIVE DIAGNOSE... [ Read More ]

Assistant Surgeons and Co-surgeons together

Agreed, this does not sound like a co-surgeon situation. Co-surgeon billing is for cases where a single procedure requires the expertise of two surgeons from different specialties and both are involv... [ Read More ]

Aetna 43246-62

Hi, Per Aetna policy they do not reimburse the PEG code with any assist/co surgeon modifiers. Can anyone give suggestions on how to appeal this for payment? Thank you... [ Read More ]

CPT Code 43762

Good Morning, Based on your comments I would say the facility director does not have a current understanding of CPT 43762 since it is new this year. I have included a cut and paste below from the Op... [ Read More ]

AspireAssist procedure

Hi, Has anyone coded this procedure yet? I'm finding mixed info about it and apparently some of the Blues plans in CA are covering this. It's for the endoscopic assisted percutaneous placement of th... [ Read More ]

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