Wiki Endoscopic - Does anyone do this procedure

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tlivengo

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Hello. Does anyone do this procedure, and if so what do you charge / get reimbursed? The American Acedemy of Oto reccommends using the Unlisted code 43499. The comparable open procedure is 43130.

Thanks!
Teresa
 
Zenker's

what code do you compare the fee to? I have previously used 43216 and that is $439 which doesn't quite seem like enough and sounds like you are billing higher...

Thanks!
Teresa
 
Zenker's

Forgot to say...I'm in Kansas, and the technique used was stapling....

thanks so much for the info I really appreciate it!

Teresa
 
My doctor used the stapler, too. Medicare crosswalked my unlisted code to 43130 (diverticulectomy - cervical approach) after reviewing the operative report and paid at that rate. I based my fee on that code, luckily, so it worked out pretty well.
 
zenkers

I am really surprised they compared it to the open procedure because the endoscopic one is considered much easier. Thanks for the information tho it really helped!

Teresa
 
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