Advanced Search

Gastroenterology Coding Alert

You Be the Coder:

Check Method Used to Remove Biliary Stent

Published on Thu Dec 20, 2012

Question: My gastroenterologist recently performed a biliary stent removal. He didn’t do anything else. They didn’t look at anything, just went in with scope and removed the stent. Could I still bill 43269 or should I use another CPT® to report the procedure that my gastroenterologist performed? Indiana Subscriber Answer: If your gastroenterologist performed only a stent removal from the biliary duct, you will have to report the procedure understanding the method in which the removal was performed. If your gastroenterologist performed an endoscopic retrograde cholangiopancreatography (ERCP) procedure for the removal of the stent, then you will have to report the procedure using the CPT® code 43269 (Endoscopic retrograde cholangiopancreatography [ERCP]; with endoscopic retrograde removal of foreign body and/or change of tube or stent). If the procedure was done using an upper esophagealgastroduodenoscopy (EGD) using an endoscope and no ERCP was performed, then you cannot report 43269 for the procedure. [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Gastroenterology Coding Alert

View All