CPT Knowledgebase - Jun 15, 2015

When a gastrointestinal procedure, such as an endoscopic retrograde cholangiopancreatography, is performed and includes radiological supervision and interpretation, who can report the radiology services? For example, if the images are sent to a radiologist for review after the case has ended, would it be appropriate for the radiologist to report the supervision and interpretation service? By definition, it seems that for supervision and interpretation, the provider must be in attendance for the intraoperative session in order to report the service. The CPT codes in question are code 43260 (REVISED IN 2014), Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) and code 74328, Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation.

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