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Assign the CPT code(s) and appropriate modifier(s) to each statement. Please be aware that when an...

Assign the CPT code(s) and appropriate modifier(s) to each statement. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Physician inserted a balloon endoscopically for tamponade of bleeding esophageal varices.

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Esophagus is food pipe that connects pharynx with the stomach. Esophagus is about 8 inches long and it consists of two sphincters namely upper esophageal sphincter and lower esophageal sphincter. The common disorders that occurs in esophagus includes: Dyspepsia, GERD that results from loosening of the UES, esophagitis, esophageal ulcer , esophageal varices that occurs secondary to liver degeneration and it will results in severe bleeding.

Esophageal varices symptoms are bright red vomitus, black tarry stools, coffee ground vomit. It is a life threatening condition if left untreated. Balloon tamponade is a invasive procedure in which a ballon catheter is inserted in to the esophagus in order to stop bleeding from the vascular structures.

The CPT code 43255 (upper gastrointestinal endoscopy including esophagus,stomach and either the duodenum or jejunum as appropriate., with control of bleeding). In case of this procedure done with other procedures add modifier 51 (multiple procedure), if it is done separately add modifier 59 (distinct procedure).

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