Question

1.      What is the 2019 CPT code for this surgical procedure: "Colonoscopy,polyps removal, predunctulated"?

2.      This 50 yearold man experienced acute odynophagia after eating fish. The patient felt aforeign body like sensation in his proximal esophagus. He was evaluated withlateral, C spine films, and soft tissue films without any evidence ofperforation.PROCEDURE: EGD with foreign body removalFINDINGS: After obtaining informed consent, the patient wasendoscoped. He was premedicated without any complication. Under directvisualization, an Olympus Q20 was introduced orally and the esophagus wasintubated without difficulty. The hypophyarynx was reviewed carefully, andno abnormalities were noted. There were no foreign bodies and no lacerations tothe hypopharynx. The proximal esophagus was normal. No active bleeding wasnoted. The endoscope was advanced farther into the esophagus, where carefulreview of the mucosa revealed no foreign bodies and no obstructions. However,the gastroesophageal junction did show a very smallfish bone, which was removed without complications. The endoscope was advancedinto the stomach, where partially digested food was noted. The duodenum showedsigned of mild duodenitis, and a biopsy was obtained. The endoscope was thenremoved. The patient tolerated the procedure well, and hispostprocedural vital signs are stable. What is the correct CPT code(s)? Please list them in sequentialorder with commas separating each code.  

Answer 1

1. CPT code for colonoscopy, polyp removal predunculated.

Ans: 45385 – Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.

There is no revision of the above code in 2019.

2. CPT codes are 43247, 43239

• 43247 – Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s).
• 43239 – Esophagogastroduodenoscopy, flexible, transoral; biopsy; single or multiple.