Coding Rules Current as at 18-Oct-2016 08: 31

Published 15 June 2015,
for implementation 01 July 2015.

Ref No: Q2927 | Published On: 15-Jun-2015 | Status: Current

SUBJECT: Endoscopic dilation of duodenal stricture

Q:

How do you code endoscopic dilation of duodenal stricture?

A:

Where endoscopic dilation of the duodenum is performed without insertion of a prosthesis (stent), assign as a best fit:

30475-01 [882] Endoscopic dilation of gastroduodenal stricture

by following the index pathway:

Dilation

- duodenum

- - and gastric stricture (endoscopic) 30475-01 [882]

Dilation of the duodenum is included in the ACHI codes for endoscopic insertion/replacement of duodenal prosthesis (stent):

92068-00    Endoscopic insertion of duodenal prosthesis

       Endoscopic insertion of duodenal stent:

       • metal (Wallstent)

        • plastic

     Includes:  dilation of duodenum

92068-01    Endoscopic replacement of duodenal prosthesis

       Endoscopic replacement of duodenal stent:

       • metal (Wallstent)

       • plastic

    Includes:  dilation of duodenum

Amendments to ACHI will be considered for a future edition.