tci General Surgery Coding Alert - 2013 Issue 6

You Be the Coder: 43268 and 43269 Double Up Placement/Removal Service

Question: The patient had a 7 French stent. Our general surgeon performed an ERCP to remove the stent and replace it with a 10 French x 9 cm, with decompression of the biliary tree in standard fashion. Should I report 43268 and 43269-59? Kansas Subscriber Answer: No, what you suggest is not proper coding. Because a stent was already in place when the surgeon began the procedure, you would be justified in reporting 43269 (Endoscopic retrograde cholangiopancreatography [ERCP]; with endoscopic retrograde removal of foreign body and/or change of tube or stent). However, reporting 43269 with 43268 (Endoscopic retrograde cholangiopancreatography...

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