• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Ercp - with no dialation

Create Wiki
R

R1CPC

Guru
Messages
137
Best answers
0
My Doctor performed an ERCP with Balloon sweep with no dialation. What CPT would I use? I found CPT 43271 but that cpt still includes with dialation.
 
we use 43264 for ballon sweep removal, here is the description of the procedure:

...Endoscopic retrograde cholangiopancreatography is performed with removal of stone(s) from the biliary and/or pancreatic ducts. An endoscope is passed through the esophagus, stomach, and into the duodenum to the point where the pancreatic duct and the common bile duct meet, (the Ampulla of Vater), at the major duodenal papilla. A smaller catheter is placed through the scope, the ampulla of Vater is cannulated, and contrast dye is injected into the ducts. The common bile duct, biliary tract, gallbladder, and pancreas are visualized on x-rays, taken as soon as the dye is injected. A balloon catheter is inserted and swept down past the biliary or pancreatic duct calculus (stone). The balloon is inflated and the stone is extracted by slow withdrawal of the balloon catheter. Alternatively, a basket extraction can be performed. The basket extraction device is inserted, the calculus is trapped within the device, and the basket is then slowly withdrawn. One or more calculi may be removed during this procedure.
 
What if he does not remove anything, see he is doing the sweep to check and see if there are any stones. No balloon inflation is done.
 
You must log in or register to reply here.
Top