tci General Surgery Coding Alert - 2017 Issue 4

Reader Question: Specify Approach for Lithotripsy and Stent Codes

Question: Our surgeon performed a stone removal using lithotripsy and also removed one stent from the biliary tree in the same session. Which procedure code or codes will be most appropriate for this work? Maine Subscriber Answer: You don’t provide enough information for a definitive answer regarding the appropriate code(s). For instance you might report a lithotripsy with various codes depending on the method and approach, such as the following: 43265 — Endoscopic retrograde cholangiopan­creatography (ERCP); with destruction of calculi, any method (e.g., mechanical, electrohydraulic, lithotripsy)  47554 — Biliary endoscopy, percutaneous via T-tube or other tract...

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