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Gastroenterology Coding Alert

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Go With 43268 For ERCP Without Sphincterotomy

Published on Fri Apr 01, 2011

Question: am new to ERCP coding and trying to figure out how to code this scenario: ERCP with stent in biliary and pancreatic ducts (43268 and 43268-59) and then they placed a nasal enteric tube into the duodenum before they removed the endoscope. How should I code for the enteric tube placement? The physician's report says: "We then removed the cannulation apparatus from the pancreatic duct, leaving simply the stent behind. We then passed a Wilson Cook 10-French nasal enteric tube through the endoscope into what appeared to be the fourth portion of the duodenum and removed the endoscope over the nasal enteric tube. This was then transition through the patient's nose with the use of a Silastic tube and the nasal enteric tube affixed to the patient's nose at approximately 103 cm."New Jersey SubscriberAnswer: Although your question doesn't say so, gastroenterologists usually perform additional work before they can place [...]
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