CPT^® 43262, Under Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedures

The Current Procedural Terminology (CPT^®) code 43262 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 an endoscopic retrograde cholangiopancreatography (ERCP), a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts; he also performs a sphincterotomy (incision to open up or enlarge the sphincter of Oddi) and/or a papillotomy (incision of the ampulla of Vater or hepatopancreatic duct, the union of the pancreatic and common bile ducts).

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ERCP 43273 add on code

Hi, I am new to Gastroenterology my (question is; does this warrant added on code 43273 (bile duct was deeply cannulated with the short nosed traction sphincterotome, contrast injected, I personally i... [ Read More ]

ERCP fluoroscopy ercp fluoroscopy

My boss, a gastroenterologist, did 43262 and 43264 on same patient, same out-patient encounter. How do I code the fluoroscopic aspect? Is it included or should I use 74328? Thanks!... [ Read More ]

Incomplete ERCP

I would bill the 43262 with a 53 modifier, since the provider initiated the ERCP procedure.... [ Read More ]

help with coding this procedure?

[QUOTE="Jenannurb, post: 408787, member: 346565"]I would love some input as to how to code this procedure. Op report as below: Procedure: ERCP with* Sphincterotomy, stone extraction Date of Procedu... [ Read More ]

Having a modifier issue.

Did you try one of the new "X" modifiers on 43262?... [ Read More ]

Gastroenterology modifier issue

Were these done in the same session but different locations? If so, you may need to also add modifier 51 (multiple procedures) as well as modifier XS (Separate Structure) to the 43262. If the locatio... [ Read More ]

Gastroenterology modifier issue

-------------------------------------------------------------------------------- I have a claim which is denied for inconsistent or missing modifier, can someone give me any ideas? We billed a 43262 ... [ Read More ]

Having a modifier issue.

I have a claim which is denied for inconsistent or missing modifier, can someone give me any ideas? We billed a 43262 for Biliary obstruction and a 43274 for elevated bilirubin with a 59 modifier. Me... [ Read More ]

Ercp - with no dialation

laercp for cbd stone should this be coded with a 4899 and 47999 ? What about the 43262 and 43264 stone removal?... [ Read More ]

2014 ERCP Codes

you can't use 43262 (sphincterotomy) when placing a stent, but you are correct when you have two stents in two different locations use -59 modifier.... [ Read More ]

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