AMA CPT® Assistant - 2004 Issue 9 (September)

Digestive System/Surgery (September 2004)

September 2004 page 13 Coding Consultation:Questions and Answers Digestive System, 43268, 00059 (Q&A) Question Is it appropriate to report code 43268, Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion of tube or stent into bile or pancreatic duct, more than one time if more than one stent is placed? AMA Comment AMA Comment: From a CPT coding perspective, code 43268 describes an ERCP with placement of a single stent into the bile duct or pancreatic duct. If more than one tube or stent is placed, it is appropriate to report this code multiple times. Modifier 59, Distinct procedural...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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