ercp

  1. K

    Wiki ERCP COMPLETE?

    Is the following a complete ERCP? If it is not, guidelines say to look at EGD 43235 but does this meet the qualifications for an EGD? Procedure The Trade in program from Olympus. Removed 180's was introduced through the mouth, with the intention of advancing to the bile ducts. The scope was...
  2. C

    Wiki ERCP

    I am new to gastro coding and need assistance with this op report. Would I code this as 43274? Would a modifier be needed? Thanks! PROCEDURE: ERCP, placement of a pancreatic stent, removal of a pancreatic stent. REPORT: We attempted the ERCP initially with the patient in the prone position...
  3. S

    Wiki Esophageal Stenting if Provider Caused the Rent

    Hi there, we are trying to find information on billing esophageal stents if the provider caused a small rent during EGD/ERCP. I know if there is post polypectomy bleeding (caused by physician) you cannot bill for hemorrhage control. You can only bill hem control if the bleeding was encountered...
  4. E

    Wiki 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!
  5. T

    Wiki ERCP w/ stent removal and stent placement not in same areas

    I would like insight into how you would code the following stent removal not in the same area as subsequent placement(s) - 1 stent removed from biliary tree, 1 stent placed into left hepatic duct, 1 stent placed into right hepatic duct. One stent was removed from the biliary tree using a...
  6. C

    Wiki Need help coding ERCP Stent Exchange

    Should the appropriate codes be: 43274, 47537 or just 43276? We did not originally place the PTC and the removal of PTC through abdominal wall is what's throwing me off. Indication: Known Pancreatic cancer with malignant common bile duct obstruction. ERCP for exchange of stent/internalization...
  7. N

    Wiki Egd and ercp coding

    Any reason why 43235 would get denied when billed with ercp stent and stone removal? Medicare has denied two stating a co-b15 issue. "required that a qualifying service/procedure be recd and covered. Should i use a modifier 59 on it?
  8. J

    Wiki ERCP coding

    Please correct the codes for ERCP done by my Provider for Outpatient in the Gastroenterology Dept at the Hospital: 43274 43264 59 74320 26 59 Luminal: The side-viewing duodenoscope was passed through the mouth and advanced with ease to the 2nd portion of duo. The major pailla had a prominent...
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