CPT^® 43261, Under Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedures

The Current Procedural Terminology (CPT^®) code 43261 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 also takes one or more biopsies of suspicious tissue.

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43261 and 43239

[QUOTE]if you performed and egd with biopsy of the stomach and also performed and ercp with biopsy of the ampulla on the same visit, would the 43239 be bundled in with 43261? [/QUOTE] Code 42329 is a... [ Read More ]

43261 and 43239

question for auditors??? if you performed and egd with biopsy of the stomach and also performed and ercp with biopsy of the ampulla on the same visit, would the 43239 be bundled in with 43261?... [ Read More ]

ERCP Biopsy w/Cellvizio

What is everyone using out there for Endosopic tetrograde cholangiopancreatography (ERCP): with biopsy and cellvizio. I have CPT 43261 right now. Is there a code for the use of the cellvizio with t... [ Read More ]

Gastroenterology ERCP

Sorry, I don't have my CPT book with me but based on what/how you describe procedure, you can bill 43262 with the 43261 with a 59. you may have to appeal stating that it was used for that purpose. I... [ Read More ]

Gastroenterology ERCP

2014 codes. UH! The physician did a 43265 Lithotripsy. 43274 Stent placement and 43262 Sphincterotomy and a 43261 biopsy. My Question is can you bill a 43274 with the 43262? The code book says that 4... [ Read More ]

Ercp

This is all new to me too. The code book says that 43262 can be used with 43264,43265 and 43261. The sphincterotomy was used to make a cut for the balloon to be inserted and CBD debris was then swept ... [ Read More ]

ERCP vs. EGD

I am glad this topic came up. I had a similar situation recently, and went with the 43261. However, now that the topic is being discussed, I got out my Gastroenterology Surgery Coding manual. When ... [ Read More ]

ERCP vs. EGD

I have a situation where the physician did an ERCP with sphincterotomy and stone removal. On the way out, he did a biopsy of the stomach for gastritis. He coded it 43264, 43262, 43261, which we bille... [ Read More ]

Unsuccessful ERCP

I'm not 100% on this, but I feel like 43261 (ERCP w/ biopsy) and a 53 modifier would be appropriate. I like the doctors use of "floppy" you don't see that word too often in an op report. Bob... [ Read More ]

ERCP and EGD done together

We use 43261. Bridgette Martin, LPN, CPC, CGIC... [ Read More ]

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