Gastroenterology Coding Alert
Reader Question:
ERCP Getting Complicated? Dial 43269
Published on Fri Nov 05, 2004
Question: The physician performed an endoscopic retrograde cholangiopancreatography (ERCP) on a patient on Monday. The stent occluded on Thursday, and the physician had to cannulate the stent with a catheter, remove the blockage and reposition the stent. Now it's Friday, and I'm not sure which code to report. Do you have any suggestions?
Maryland Subscriber
Answer: Fear not. CPT has designed a code for times when complications arise from stent placement during an ERCP.
When the gastroenterologist has to reposition a stent on a prior ERCP, you should report 43269 (Endoscopic retrograde cholangiopancreatography [ERCP]; with endoscopic retrograde removal of foreign body and/or change of tube or stent).
Other Articles in this issue of
Gastroenterology Coding Alert
- Knowing Internal or External Site Takes the Pain Out of Hemorrhoid Coding
Report 46221 only once for rubber banding regardless of the number of ligations
When you report [...] - Clip and Save:
Use This Hemorrhoid Coding Quick Key
It's a tough subject, but hemorrhoid knowledge helps the bottom line
If you didn't know that [...] - Quick Quiz:
Get Hip to New Codes, Square Your Office With CPT 2005
Another year, another Stretta code - but which one's the right one? It's official: The [...] - You Be the Coder:
Choose Correct Codes for Endoscopic PDT
Question: Our gastroenterologist performed photodynamic therapy (PDT) for one hour on a patient with Barrett's [...] - Avoid Incident-To Accidents, Collect an Extra 15 Percent
- Reader Question:
Varied Dates of Service Make Swell Peritoneocentesis Claims
Question: The gastroenterologist performed peritoneocentesis on a patient to drain fluid from his abdominal cavity. [...] - Reader Question:
Pair of ICD-9 Codes Proves Colonoscopy Necessity
Question: A patient complaining of rectal pain reported to the office. The gastroenterologist performed a [...] - Reader Question:
ERCP Getting Complicated? Dial 43269
Question: The physician performed an endoscopic retrograde cholangiopancreatography (ERCP) on a patient on Monday. The [...] - Reader Question:
Code Combo Is Key to FluMist Payment
Question: We are one of the few gastroenterology offices in our area administering the FluMist [...]
View All
