tci Outpatient Facility Coding Alert - 2017 Issue 9

You Be the Coder: Here's When You Can Correctly Report 43277 In Addition to 43264

Question: During an ERCP procedure, the surgeon removed three stones. How should we code this case? SuperCoder Subscriber Answer: Given the information you've provided about the procedure, the best code choice is 43264 (Endoscopic retrograde cholangiopancreatography [ERCP]; with removal of calculi/debris from biliary/pancreatic duct[s]). ERCP is a procedure that utilizes endoscopy and fluoroscopy to visualize, examine, diagnose, and possibly treat stones, tumors, or narrowing in the bile or pancreatic ducts. Two commonly used devices for stone removal are a basket and a balloon. A catheter with a basket is passed over a guide wire into the duct and the...

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