Wiki EGD with APC ablation and closure of gastrocutaneous fistula with clips

[loriroberts36]

I am looking for a CPT code for an EGD with APC ablation and closure of gastrocutaneous fistula with clips. Would 43270 work for this therapy? Here is the op note...

· Normal esophagus. Normal gastric mucosa. Normal duodenum including D1 and D2.
· The external cutaneous side of the fistula silver nitrate was applied after careful cleaning with chlorhexidine.
· Following this, endoscopy was performed, APC ablation was performed on the gastric side of the fistula, and at the fistula. 3 clips were applied

I have not found much information on how to bill for this procedure. Any help is appreciated.

 

[shaughnessy20]

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