• This forum is currently in Read-Only mode and will not accept new threads, posts or responses.

    To Sign Up for the New Forum, click here: https://www.cco.us/cco-forum/

Code for endoscopic removal of foreign body

Linda Charlwood

PASSED CCS/Got the job!/wrk frm hme/PUP all day!
Blitzer
Hello Laureen,

Could you settle a difference of opinion please and tell me please what code you would assign for endoscopic removal of foreign body (chicken bone) from the esophagus?

Thanks so much!!!!
 

Alicia Scott

Moderator, CCO Instructor
Staff member
Administrator
Moderator
Blitzer
PBC Student (CPC®)
CCO Club Member
CCO Support Staff
MTA Student
ICD-10-CM Student
PPM Student (CPPM®)
FBC Student (CPC-H®)
Is this how it was done:
Plain English Description
The mouth and throat are numbed using an anesthetic spray. A hollow mouthpiece is placed in the mouth. The flexible fiberoptic endoscope is then inserted and advanced as it is swallowed by the patient. Once the endoscope has been advanced beyond the cricopharyngeal region, it is guided using direct visualization. The endoscope is advanced to the site of the foreign body. A balloon catheter may be used to remove a smooth edged foreign body, such as a coin. The catheter tip is passed beyond the level of the foreign body and the balloon inflated. The catheter is then withdrawn and the foreign body carefully pulled out of the esophagus. An impacted foreign body such as a piece of meat is removed with forceps. The forceps is passed through the endoscope, the impacted foreign body grasped and removed. A rigid endoscope may be used to remove a sharp foreign body such as a tack or razor blade. The rigid endoscope is introduced, the foreign body visualized and maneuvered into the lumen of the scope using forceps. The foreign body and scope are removed. Following removal of the foreign body, the endoscope is reintroduced and the esophagus, stomach, duodenum and/or jejunum examined for evidence of perforation or other injury.
If so:
43247 - Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body

AMA Guidelines:
(For radiological supervision and interpretation, use 74235)
 
Top