We have an 81yo pt who swallowed a saftey pin. Dr. went in with endoscope and removed with prolonged time of 1.5 hours. We normally do not use the accident codes with esophageal foreign body since it usually causes stricture. In this case however no stricture is found just the foriegn body. My Dr. is requesting that i get feed back on what DX to use for this. We have had trouble in the past getting the accident codes ( 900's) paid. So far I have 43247-22( modifier for prolonged procedure) What are thoughts on this please help!