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EGD with removal of biliary stent CPT adn ICD-9

Becky Posted Thu 11th of October, 2012 17:19:58 PM

One of our physician's performed an ERCP on a patient in the hospital and placed a biliary stent.
A month later, another physician removed the stent during an EGD via snare.
I am finding conflicting answers. Some say code for foreign body removal for both procedure and dx code. I also see where it is advised to code removal by snare with dx code as 'V58.49'. I appreciate your help!

SuperCoder Answered Thu 11th of October, 2012 21:51:14 PM

To bill ERCP with removal use (43269, Endoscopic retrograde cholangiopancreatography [ERCP]; with endoscopic retrograde removal of foreign body and/or change of tube or stent) your gastroenterologist must:

• perform an ERCP including the contrast imaging of the bile duct or pancreatic duct ,and/or

• replace the stent.

Use V53.99

Becky Posted Fri 12th of October, 2012 13:25:06 PM

So, how do i code the removal of the stent via EGD a month later? CPT and Diagnosis code?

Thanks

SuperCoder Answered Mon 15th of October, 2012 22:47:14 PM

43247-938

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