tci General Surgery Coding Alert - 2018 Issue 7

ERCP Coding: Grasp Rules for Biliary or Pancreatic Duct Procedures

Keep diagnostic and therapeutic codes separate. If your surgeons perform endoscopic retrograde cholangiopancreatography (ERCP) procedures, you need to master the codes in the range 43260-43278. Context: ERCP involves using an endoscope and fluoroscopy to examine the ducts that drain the liver and pancreas. Surgeons often use ERCP to treat conditions such as choledocholitiasis (bile stones), tumors, strictures (scarring and narrowing), pancreatic cysts, pancreatitis, and necrosis. For that reason, the procedure frequently includes performing therapeutic actions such as stone removal, lithotripsy, stent placement, tumor excision, balloon dilation, etc. “A number of changes have occurred in this family of [procedure]...

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