tci Outpatient Facility Coding Alert - 2013 Issue 4

You Be the Coder: Avoid Coding Confusion for Same Day Stent Removal and Insertions

Question: Our gastroenterologist recently preformed an ERCP procedure to remove the original stent that is 7 French and replace it with a 10 French x 9cm decompression of the biliary tree in standard fashion. No biopsies or other procedure performed. I reported 43268 and 43269-59. Is this correct? Wichita Subscriber Answer: In your scenario, it sounds as if the stent was already in place when the procedure began, so you would be safe to use 43269 (Endoscopic retrograde cholangiopancreatography [ERCP]; with endoscopic retrograde removal of foreign body and/or change of tube or stent). Considering the definition of the code...

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