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ERCP Sphincterotomy

Jackie Posted Mon 24th of September, 2012 15:50:37 PM


My doctor preformed two different sphincterotomy's 1. one in the pancreatic duct 2. one in the biliary duct.

Can I code for both?

SuperCoder Answered Mon 24th of September, 2012 17:47:51 PM

If multiple sphincterotomies have been performed, you report the procedures using 43262 with modifier 59 (Distinct procedural service). Additionally, if your gastroenterologist took long at a difficult procedure which required multiple sphincterotomies in a single session, you append modifier 22 (Increased procedural service).

Jackie Posted Mon 24th of September, 2012 17:56:02 PM

Thank you, I have found lots of documentation supporting the stent placement but could not find any regarding the sphincterotomy.

I thank you very much for your help.

Jackie Sue

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