Is it appropriate to report CPT code 43247, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of foreign body, when an esophagogastro-duodenoscopy (EGD) is performed on a patient who has a food bolus in the esophagus and the physician pushes the bolus into the stomach?
Answer: CPT code 43247 would be appropriate to describe the procedure used in this scenario in which the endo- scope is inserted to the level of the distal esophagus where a foreign body (eg, meat bolus) obstructs further advance-ment. A snare or retrieval device is used to dislodge the bolus, either by removing the bolus intact or fragmenting the bolus and displacing it into the stomach. The scope is reinserted or advanced into the stomach and duodenum to complete the evaluation with particular attention to the gastroesophageal junction. Therefore, it is appropriate to report CPT code 43247 if the food bolus is advanced into the stomach and observation of the stomach and small bowel are included.
Answer: CPT code 43247 would be appropriate to describe the procedure used in this scenario in which the endo- scope is inserted to the level of the distal esophagus where a foreign body (eg, meat bolus) obstructs further advance-ment. A snare or retrieval device is used to dislodge the bolus, either by removing the bolus intact or fragmenting the bolus and displacing it into the stomach. The scope is reinserted or advanced into the stomach and duodenum to complete the evaluation with particular attention to the gastroesophageal junction. Therefore, it is appropriate to report CPT code 43247 if the food bolus is advanced into the stomach and observation of the stomach and small bowel are included.
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