Federico Posted Mon 20th of October, 2014 11:38:54 AM
There is a big diffence between placing a plastic stent versus a metal stent during an ERCP session. Is there a way to bill for this difference other than modifier 22??
SuperCoder Answered Mon 20th of October, 2014 22:46:56 PM
Thanks for your question. The procedure code 43274; Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent does not differentiate by type of stent. You would use this code for a stent of any material. Modifier 22 would be the best way to try to get additional reimbursement for the use of a metal stent.