Question

what are the CPT.ICD-10 AND HCPCS codes for the following question?The anesthesiologist is medically supervising a CRNA, with a total of 4 concurrent cases. The patient's physical status was -P2. LOCATION: Outpatient, Hospital PATIENT: Jacob Newton PHYSICIAN: Larry P. Friendly, M.D. ANESTHESIOLOGIST: Janice E. Larson, M.D. INDICATIONS: 1. Persistent vomiting. 2. Delayed gastric emptying ENDOSCOPIC IMPRESSION: Abnormal EGD 1. Gastric outlet obstruction secondary to pyloric web. 2. Suspect esophagitis (peptic vs. eosinophilic) INDICATIONS: Patient seen for persistent vomiting. Discussed options, answered questions and patient consented to proceed with EGD. PROCEDURE: EGD with biopsy and fluoroscopy study COMPLICATIONS: No complications ESTIMATED BLOOD LOSS: Minimal DESCRIPTION of PROCEDURE and FINDINGS: The patient was brought to the operating room and anesthetized. The patient remained positioned in the supine position. The Pentax EG1870 A110046 gastroscope was passed into the upper esophagus under direct vision. Endoscopic appearance of the esophagus was abnormal as there was swelling of the mucosa without erythema or erosions. There were longitudinal furrows, but no exudates. The stomach was entered and insufflated with air to flatten the folds. Endoscopic appearance of the body and retroflex view of the cardia and fundus were unremarkable. The pylorus was abnormal as the pylorus is obscured by circumferential hypertrophied antroduodenal folds. The diameter at the pylorus was diminutive, < 6 mm and offered resistance to the passage of the scope with an OD of 6 mm. The duodenal bulb is generous and has a slight change in caliber at its first fold. The second and third portion of the duodenum and most proximal jejunum had normal caliber and no anatomical abnormalities. Fluoroscopic examination of the first portion of the small bowel and antropyloric area reveals there is not thickening, of the pylorus and there is an uniform caliber of the duodenum. Random biopsies were obtained from the duodenum and antrum. Biopsies were obtained from the distal and proximal esophagus. The endoscope was advanced into the stomach a final time to evacuate the air/fluids and it was withdrawn, terminating the procedure. The patient tolerated the procedure well, was awakened, and returned to the recovery room in good condition. TREATMENT PLAN: Await biopsy results and surgical consultation. A surgical intervention is likely to be our next step. DISPOSITION: Discharge home/after care instructions provided

Answer 1

Answer :

* CPT code for EGD (esophago gastro duodenoscopy ) is

" 43235 " - "43259 ".

EGD with biopsy and floroscopy is " 43239 - 59 ".

* CPT code for flouroscopy is " 76000 or 76001 ".

* ICD 10 CM for persistent vomitings is R11. 10.

* ICD 10 CM for Esophagitis is " K20.9 ".