CPT^® 43255, Under Esophagogastroduodenoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43255 as maintained by American Medical Association, is a medical procedural code under the range - Esophagogastroduodenoscopy Procedures.

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Summary

An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.

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EGD with APC ablation and closure of gastrocutaneous fistula with clips

I have been told to use 43255 for this : EGD with control of bleeding any method. ( APC / Clip) Hope this helps.... [ Read More ]

Two EGD's done same day - denying due to bundling

Thank you so much for your response Icolborn, we did try the 76 modifier. They paid on the EGD with control of bleeding (43255) but denied the 43235 as inclusive, even though the two procedures were ... [ Read More ]

Two EGD's done same day - denying due to bundling

We had a patient present to the ER with acute hematemesis and an urgent diagnostic EGD was performed in the ER at bedside at around 2:00a. gastric fundus was filled with old clots and blood, but no ac... [ Read More ]

EGD with control of bleed AVM

I have this same scenario but there is no response to the question. Provider insists 43255 is the appropriate CPT due to the "risk of bleed" but documents "non-bleeding ...." for both identified ulce... [ Read More ]

how are 43255 and 53020 E/M? (per the CPC course)

I am reading this in my CPC course, pertaining to CPT code status indicators: [QUOTE] Endoscopies or minor procedures with preoperative and postoperative relative values on the day of the procedure on... [ Read More ]

Need CPT for EGD with gastric polyp banding

Check out 43255 Control of bleeding any method. Just a thought.... [ Read More ]

colonoscopy/EGD-control bleed

This colonoscopy is done for iron deficiency anemia. The provider placed the hemostatic clip to prevent bleeding post-intervention. There was no bleeding at the end of the procedure. My question is... [ Read More ]

Coding Gastro

You can code both the 43239 and 43255 based on the scenario that you explained above. If the bleeding was from the biopsy location in the esophagus then that would be bundled into the 43239 code. Sinc... [ Read More ]

Coding Gastro

I would like to know if I can code 43239-59 with 43255. The situation is Physician did an EGD with biopsy and hemostasis. These were his findings EGD Esophagus - The esophagus was unremarkable. Bx ta... [ Read More ]

EGD with control of bleeding

An EGD with control of bleeding done for prophylactic reason. Non-bleeding angioectasias, iron deficiency anemia unspecified and melena. Is it correct to code CPT 43255? Having an issue with medical... [ Read More ]

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