Practice Quiz

Medical Coding

Category - 40,000 Series

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A patient underwent esophagogastroduodenoscopy (EGD) and had multiple biopsies taken of the esophagus, stomach and duodenum. She also had one polyp removed with hot biopsy forceps from the antrum of the stomach. What CPT code(s) should be used for this procedure?
  1. 43239
  2. 43239, 43250
  3. 43239, 43251
  4. 43239, 43255
Explanation
Answer: B - 43239 is correct because this procedure is EGD with single or multiple biopsies and code 43250 is correct because this is EGD with removal of polyps with hot biopsy forceps.
Code 43239 is correct but is incomplete because there were two procedures performed during the course of this EGD and a polyp was also removed. Code 43251 is incorrect because the polyp wasn’t removed by snare technique, it was removed by hot biopsy forceps. Code 43255 is incorrect because there was no mention of bleeding having to be controlled during this EGD.
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