Hi!
Would anyone know the appropriate code for this procedure? Some payors policy manuals state code is 43228 or 43258 (though I dont see why it would be UGI if procedure is done in the esophagus), yet other payors have it as 43257:
"37 yo female patient presents for an outpatient esophagoscopy/ Ablation maneuver
Indications: Barret's ablation
Findings: An ablation maneuver was performed. The top of the gastric folds was measured at a 35cms in the incisors. The top of the intestinal metaplasia was measured at 20cms. A guidewire was placed was used to irrigate the esophagus. The endoscope ws introduced with the ablation electrode attached. Barrett's tissue was targeted from proximal to distal, treating islands, tongues circumferential at the gastroesophageal junction. The endoscope with ablation electrode was positioned under direct visualization so that the ablation electrode was in contact with any Barrett's tissue. Energy was applied twice. The elecectrode was then moved to the next, intestinal, metaplasia area. Ablation was then repeated. The ablated area was cleaned of coagulative debris. The ablation electrode and endoscope were removed, cleaned and reintroduced. A second set was applied as in the first treatment. The endoscope and ablation electrode were then removed. There were islands of Barrett's at 20cm-22cm. Ther was circumferential Barrett's at 23cm-25cms. There were islands of Barrett's at 32-35cms.
Summary: An ablation procedure for treatment of Barrett's Esophagus was performed."
I really appreciate the help!!!
Would anyone know the appropriate code for this procedure? Some payors policy manuals state code is 43228 or 43258 (though I dont see why it would be UGI if procedure is done in the esophagus), yet other payors have it as 43257:
"37 yo female patient presents for an outpatient esophagoscopy/ Ablation maneuver
Indications: Barret's ablation
Findings: An ablation maneuver was performed. The top of the gastric folds was measured at a 35cms in the incisors. The top of the intestinal metaplasia was measured at 20cms. A guidewire was placed was used to irrigate the esophagus. The endoscope ws introduced with the ablation electrode attached. Barrett's tissue was targeted from proximal to distal, treating islands, tongues circumferential at the gastroesophageal junction. The endoscope with ablation electrode was positioned under direct visualization so that the ablation electrode was in contact with any Barrett's tissue. Energy was applied twice. The elecectrode was then moved to the next, intestinal, metaplasia area. Ablation was then repeated. The ablated area was cleaned of coagulative debris. The ablation electrode and endoscope were removed, cleaned and reintroduced. A second set was applied as in the first treatment. The endoscope and ablation electrode were then removed. There were islands of Barrett's at 20cm-22cm. Ther was circumferential Barrett's at 23cm-25cms. There were islands of Barrett's at 32-35cms.
Summary: An ablation procedure for treatment of Barrett's Esophagus was performed."
I really appreciate the help!!!