kristilm
Contributor
What CPT code do you use for EGD and Argon Plasma Coagulation? Thanks.
Kristi Mathews
Kristi Mathews
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Wiki Gastroenterology CPT coding
- Thread starter kristilm
- Start date
cedwards
Guru
EGD with APC
I would use 43258
I would use 43258
DOVERRED
Guest
agree!
coachlang3
True Blue
It would depend on what the documentation states.
ksschroeder
Networker
I am trying to find information on the new 2014 cpt code 43270 that replaces deleted code 43258 regarding control of bleeding and bleeding prevention.
I agree that documentation will decide whether 43255 or 43258 was appropriate, but does anyone know yet if 43270 should be reported if the coagulation is done to prevent bleeding instead of to control a current bleeding site?
I am trying to find official sources of recommendation for my physicians.
thanks!
I agree that documentation will decide whether 43255 or 43258 was appropriate, but does anyone know yet if 43270 should be reported if the coagulation is done to prevent bleeding instead of to control a current bleeding site?
I am trying to find official sources of recommendation for my physicians.
thanks!
Colliemom
Expert
Kdeterman - I would also be curious to hear what others think.
43255 or 43270
Yes I would like to see the responses to this question too. An earlier coding alert advised when the lesion or area is not actively bleeding and physician fiinds lesion suspected of being a prior souce of bleeding and uses APC to ablate the lesion, then you would report 43258 but that code does not exist anymore. Furthermore, a lot of MD's are documenting bleeding control on non-bleeding ulcers or angiodysplastic lesions. One of my gastro docs stated in his report a non-bleeding angiodysplastic lesion and used bipolar probe for coagulation. What would be the correct code. Has anyone had a doctor say he fulgarated a polyp - would that be considered ablation too but during a colonscopy?
Yes I would like to see the responses to this question too. An earlier coding alert advised when the lesion or area is not actively bleeding and physician fiinds lesion suspected of being a prior souce of bleeding and uses APC to ablate the lesion, then you would report 43258 but that code does not exist anymore. Furthermore, a lot of MD's are documenting bleeding control on non-bleeding ulcers or angiodysplastic lesions. One of my gastro docs stated in his report a non-bleeding angiodysplastic lesion and used bipolar probe for coagulation. What would be the correct code. Has anyone had a doctor say he fulgarated a polyp - would that be considered ablation too but during a colonscopy?