AMA CPT® Assistant - 2009 Issue 7 (July)

Surgery/Digestive System (July 2009)

July 2009 page 10b Surgery: Digestive System, 43273, 43262 (Q&A) Question: Our gastroenterologist performed an endoscopic pancreatoscopy (code 43273) and a sphincterotomy (code 43262). Should the sphincterotomy be separately reported or is this procedure inherent and inclusive to the endoscopic pancreatoscopy? Answer: Code 43262, Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy, is for a distinct procedure that is separately reported when performed in conjunction with code 43273, Endoscopic cannulation of papilla with direct visualization of common bile duct(s) and/or pancreatic duct(s) (List separately in addition to code(s) for primary procedure). The parenthetical following code 43273 will be revised in...

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