tci General Surgery Coding Alert - 2023 Issue Q3

You Be the Coder: Focus ERCP Coding

Question: Our surgeon performed ERCP to remove three stones from the bile duct. The surgeon passed a guidewire and catheter into the duct and passed a basket over the guidewire to trap and remove the stones. How should we code the case? Does the number of stones removed impact the coding? Kentucky Subscriber Answer: The appropriate coding for the scenario you describe is a single unit of 43264 (Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)). This is the correct coding for the method you described or for any other method, such as passing a balloon...

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