tci General Surgery Coding Alert - 2017 Issue 10

You Be the Coder: Capture ERCP Dilation and Stone Removal

Question: During an ERCP procedure, the surgeon removed three stones. How should we code this case? SuperCoder Subscriber Answer: The best code choice for the work you described is 43264 (Endoscopic retrograde cholangiopancreatography [ERCP]; with removal of calculi/debris from biliary/pancreatic duct[s]). ERCP is a procedure that utilizes endoscopy and fluoroscopy to visualize, examine, diagnose, and possibly treat stones, tumors, or narrowing in the bile or pancreatic ducts. Two commonly used devices for stone removal are a basket and a balloon. A catheter with a basket is passed over a guide wire into the duct and the basket traps the...

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