Gastroenterology Coding Alert
Try Add-On Code for Cholangioscopy
Question: New Jersey Subscriber Answer: To use this code, your gastroenterologist will need to perform ERCP, which includes codes 43260, 43261, 43263-43265, and 43267-43272 (Endoscopic retrograde cholangiopancreatography [ERCP] ...). Look for evidence in the doctor's notes that she cannulated, entered, or penetrated the papilla of Vater, which is where the bile duct empties into the lower intestine, or that she viewed the common bile duct or pancreatic duct. CPT introduced +43273 in 2009 to represent this new technology, which allows gastroenterologists to see inside the ducts that carry bile to the small intestine. Previously, gastroenterologists could only visualize the biliary system using imaging technology such as fluoroscopy or x-rays. With these new devices, which involve a tiny scope the physician can advance up the pancreatic or biliary duct, the physician can not only see the anatomy but directly obtain a tissue specimen of an abnormality. Learn more:
Gastroenterology Coding Alert
- CCI 15.3 Update:
: CCI 15.3 Update: Watch for Fluoro, Moderate Sedation Bundles or Face Denials
Tip: Modifier 26 may be your key to separate reimbursement for professional services. If you [...] - Stop Forfeiting up to $779 for Appendectomy Procedures
2 requirements open the door to adding on 44950-44970. Do you assume payers will bundle [...] - Clip and Save:
Always Choose the Appropriate Appendectomy Code
This flowchart makes capturing allowed 44960s a snap. To make your appendectomy coding even easier, [...] - News You Can Use:
CMS Proposes Elimination of Consultation Pay on Jan. 1
The goal: Eliminate confusion over transfers of care. If you cringe every time you see [...] - You Be the Coder:
Placement of J-Tube
Question: My gastroenterologist did a placement of jejunostomy feeding tube (j-tube) through a Kangaroo gastrostomy [...] - Reader Question:
Try Add-On Code for Cholangioscopy
Question: What CPT code should I use to report the new SpyGlass visualization system? New [...] - Reader Question:
Include Decompression in Colonoscopy
Question: Is there a code for colonoscopy with decompression of the volvulus and tube placement? [...] - Reader Question:
Patient BMI Determines Bariatric Coding
Question: I heard that Medicare made some changes about diabetic patients' eligibility for bariatric surgery. [...] - Reader Question:
Let Payers Reduce Your Multiple Procedure Fees
Question: Are insurance companies allowed to reduce our fees for multiple procedures performed during the [...]
