tci Part B Insider - 2003 Issue 29

Coding: Don't Bill for Both 43268 and 43269 With ERCP

Stent removal is part of stent change under Medicare You can bill for a number of things with an endoscopic retrograde cholangiopancreatography (ERCP), including stone removal, sphincter-otomy, dilation, or removal of a stent.   But Medicare won't pay for both the removal of an old stent and the placement of a new stent alongside an ERCP. Many physicians believe they should be able to bill 43269 (removal of foreign body) and 43268 (insertion of tube or stent) together, says Linda Parks with GI Diagnostic Gastroenterology in Atlanta.   The 2002 CPT Update reworded the descriptors of these two codes...

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