Gastroenterology Coding Alert

Learn the rules that govern reporting imaging guidance with ERCP.

CPT® does not allow the reporting of any fluoroscopy procedures that are performed with the ERCP. CPT® states that this is a bundled procedure and forms a component of the ERCP and it should not be reported separately.

However, in some situations, you might be able to report 74328 (Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation); 74329 (Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation); or 74330 (Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation). But, these should be accompanied by proper and separate documentation to show that your gastroenterologist provided the supervision and interpretation for the radiological aspect of the procedure.

Also, your radiologist cannot claim for the same service. If it is the policy of your hospital or facility to have all radiologic images officially reviewed and reported by the radiologist then your gastroenterologist cannot file claims for these services. If your gastroenterologist is allowed to read and report for these services but does not own the equipment then you may be able to report the radiologic codes and you must also use a modifier-26 to indicate that your claim is only for the professional portion of the radiologic code.