bridgettemartin
Expert
I am trying to determine if the same site rule applies here. I have a Dr that during ERCP for CBD stone removal, performs a sphincterotomy followed by a sphincteroplasty (rather than extending the sphincterotomy). Does the same site rule apply here? Can I only bill for one?
In one particular note, he performs a sphincterotomy. He then states there was still some "tapering" of the distal duct near the ampulla, so he dilates the sphincter with a balloon. He then goes on to do a stone removal and place a stent. Any thoughts?
In one particular note, he performs a sphincterotomy. He then states there was still some "tapering" of the distal duct near the ampulla, so he dilates the sphincter with a balloon. He then goes on to do a stone removal and place a stent. Any thoughts?