CPT^® 74328, Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Gastrointestinal Tract

The Current Procedural Terminology (CPT^®) code 74328 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Gastrointestinal Tract.

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Summary

In this procedure, the provider performs imaging supervision and interpretation, S&I, for a separately reportable endoscopic biliary duct catheterization. The provider X–rays the biliary ducts during insertion of a camera, called an endoscope, into the bile ducts. She administers contrast then views the duct’s contents with an X–ray camera, called a fluoroscope. The X–ray checks for tumors, a narrowing or stricture of the duct, stones, or other abnormal formations. Report this code to represent only imaging supervision and interpretation for this procedure.

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OP Note assistance

[b]ERCP with stent removal and cholangiogram[/b] I would use CPT code 43275 (ERCP with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and my reasoning is that he went back in ... [ 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 ]

Coding EUS and ERCP on same day

Hi. I am new to the coding world. I work for a GI physician. He did an EUS and an ERCP with fluoroscopic guidance. I billed it as I was instructed as 43274-59 (ERCP with stent placement), 43259 (E... [ 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 ]

Ercp

Hi, I'm in need of HELP, I have a 2015 claim still outstanding due to coding issues. Please see report ERCP: The previously placed stent was in good position.It was removed atraumatically with endo... [ 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 ]

2015 add on codes

i hope this will help you.. 74301 Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation 74300 75565 Cardiac ma... [ Read More ]

Coding Edge Dec 2012

I'll be honest and say that I've never had to look this up before using the index. It's something that I "carried on" using from the previous coders. I don't have a rationale on how to navigate quick... [ Read More ]

Coding Edge Dec 2012

Article: Successfully Report ERCP and Related Procedures (pg 18 & 19) I worked the example (practicing on op reports) and did well except for the final code 74328 - Endoscopic Catherization I see it... [ Read More ]

Ercp - traction sphincterotome

I assume that this doc is not a GI doc? 74328, but with a 52 modifier since the interpreting doc did not do the supervising of the procedure. If a GI doc. then drop the 52 mod, since the GI doc we ass... [ Read More ]

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