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To be able to bill 43247 for insurance reimbursement purposes, the important thing is that the physician did not simply use the scope to visually inspect the area of the foreign body, he/she actually had to use some instrument (like a snare, net, or forceps) that went through the endoscope to grasp the foreign object to remove it

doi:10.1038/nrendo.2018.22 Ionescu M, Frohman LA

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The HPA activation is present but typically less pronounced in head-to-head studies