CPT^® 43260, Under Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedures

The Current Procedural Terminology (CPT^®) code 43260 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedures.

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Summary

The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images of the gallbladder, pancreas, and bile ducts; he may also collect specimen(s) by brushing or washing for diagnostic analysis.

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LCD denials

[QUOTE="bar2ty@yahoo.com, post: 503519, member: 290527"] Still need HELP: Novitas-Medicare NJ denying anes claim for LCD-here is an example of how the claim is going to payer: dx K80.50; px 43260 anes... [ Read More ]

LCD denials

Still need HELP: Novitas-Medicare NJ denying anes claim for LCD-here is an example of how the claim is going to payer: dx K80.50; px 43260 anes code 00732 QK X4 QS. Another example: dx [URL='https://... [ Read More ]

ERCP or EGD?

With that documentation I would use 43260, but possibly use a modifier such as 52 or 53. I would have checked with the provider if they believe it was a reduced service or discontinued procedure (I a... [ Read More ]

ERCP or EGD?

Intended procedure was ERCP but note states they were not able to successfully cannulate. However, the note says partial cholangiogram and pancreatogram performed. Which code is more appropriate to ... [ Read More ]

Assistance with IR coding scenarios

I'm new to interventional radiology and need some assistance with the following coding scenarios that I've been working with at home for practice. The following 5 cases have be stumped, any assistance... [ Read More ]

Radiology Coding

26/TC concept doesn't apply to CPT [COLOR=#3E3E3E]43260. PC/TC indicator is 0 which means: [QUOTE][/COLOR][FONT=Verdana]Physician Service Codes -- Identifies codes that describe physician services. E... [ Read More ]

Radiology Coding

When coding for a ERCP for common bile duct stones with fluuroscopy time of 147.1 seconds on Medicare patient in a hospital setting...should you append Modifier -TC to cpt code? I do have included als... [ Read More ]

CANPC Anesthesiology coding essentials book 62 p. (1-19)

CANPC Anesthesiology coding essentials for successful anesthesiology coding by Vino C. Mody Jr., M.D., COC, CPC, CCS-P, CANPC, CCVTC Table of Contents Preface Introduction CPT Coding Steps for anesthe... [ Read More ]

ERCP with Radiologic supervision and interpretation

I have a physician that is coding an ERCP (43260-43273) with the imaging of the ductal systems (74328, 74329, 74330), however I found out that the radiologist group is also coding the imaging (74328, ... [ Read More ]

Egd and ercp coding

The base EGD CPT Code 43235 is included in the ERCP codes 43260-43278. The scope is inserted in the mouth to the bile tract. The esophagus, stomach, duodenum, are evaluated during the procedure and ... [ Read More ]

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