THEN and NOW: Endoscopic Retrograde Cholangiopancreatography - Codes 43268 and 43269 (January 2012)

January 2012 pages 11-12 THEN and NOW: Endoscopic Retrograde Cholangiopancreatography - Codes 43268 and 43269 The Spring 1994, September 2004, and October 2004 editions of CPT Assistant discussed the reporting of endoscopic retrograde cholangiopancreatography (ERCP) codes 43268 and 43269 . The following "then and now" updates reporting instructions when more than one stent is removed from a duct and only one is replaced, as well as when multiple stents are placed in the same duct. THEN CPT Assistant Spring 1994 - Gastrointestinal Endoscopy Codes 43268 Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion of tube or stent into bile or...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article compares earlier CPT Assistant guidance with a January 2012 update on endoscopic retrograde cholangiopancreatography (ERCP) reporting. It is aimed at coders, billing staff, and gastroenterology practices that follow CPT guidance for procedure reporting and documentation. The piece summarizes the general evolution of advice, references related CPT Assistant discussions, and highlights the broader documentation and reporting issues involved in ERCP coding.

Why This Topic Matters

Accurate ERCP reporting affects procedure coding consistency, documentation support, and claim submission workflows in gastroenterology. This article is useful for understanding how CPT Assistant has addressed changes and clarifications over time.

Article Sections

  1. January 2012 pages 11-12

    Publication information identifying the issue and page range for the article.

  2. THEN

    Background from earlier CPT Assistant discussions and related coding consultation material. This section places the later update in historical context and describes the reporting topics revisited in the article.

  3. NOW

    The January 2012 update to prior ERCP reporting guidance, including the broader documentation considerations and the circumstances discussed in the article.

  4. References

    Source citations and supporting publications referenced by the article.

What You Will Learn

  • How this ERCP coding topic was addressed in earlier CPT Assistant discussions
  • What the January 2012 update covers at a high level
  • What kinds of documentation considerations are associated with reporting multiple ERCP-related procedures
  • Which reference materials are cited as background for the article

Who Should Read This

  • Medical coders
  • Billing and reimbursement staff
  • Gastroenterology practices
  • Compliance and documentation staff

Codes Discussed

Modifiers Discussed


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