AMA CPT® Assistant - 2004 Issue 10 (October)

Endoscopic Retrograde Cholangiopancreatography (ERCP) (October 2004)

October 2004 pages 12-13 Coding Communication:Endoscopic Retrograde Cholangiopancreatography (ERCP) Reporting complex endoscopic retrograde cholangiopancreatography (ERCP) procedures can provide a challenge even for experienced coding professionals. This article examines the code selection for two complex scenarios: ERCP with ampullectomy and ERCP with placement of multiple stents. Scenario 1 How should a physician report ERCP with endoscopic resection of an adenoma of the major duodenal papilla (ampullectomy)? Clinical Example A 59-year-old man is referred for management of a biopsy proven 2.5 cm benign adenoma of the major duodenal papilla. An ERCP is performed and reveals no obvious extension of the...

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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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