Wiki EGD with Balloon Dilation of anastamosis

[bethh05]

The phyisician performs an EGD with biopsy and the patient also had a history of vertical banded gastroplasty with a stricture at the anastamosis, in which he also dilated. Does anyone know if 43245 would be appropriate or 43999 for the dilation? Thanks!!

 

[coachlang3]

Was the stricture actually at the pylorus? If so, yes the 43245 would be appropriate and then a 43239.

 

[bethh05]

He stated that evidence of a Silastic band was not seen and appeared tight. A TTS dilator was passed throught the scope. Dilation with an 18-19-20mm x 180 cm CRE balloon dilator was successfully performed of the anastamosis.

I done some research and 43245 would not be appropriate, the vertical banded gastroplasty is performed on the upper part of the stomach. I used the unlisted 43999. Thanks!