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.