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ERCP with stomach biopsy

Amy Posted Thu 17th of October, 2013 13:42:07 PM

Provider does an ERCP w/stone extraction and sphincterotomy. He also biopsies an ulcer in the stomach. I know we need to use 43264 and 43262. What about the stomach biopsy? 43261 indicates an ERCP with biopsy of the biliary system. I'm thinking we should use 43239 with the appropriate modifier.

SuperCoder Answered Thu 17th of October, 2013 23:48:58 PM

Yes,go with the 43239 with the appropriate modifier.It is safe to say whatever is done in the anatomical regions outside of the the ducts is completely separate from what you do once you head into a duct. Anything done once you branch off into a duct is covered by the ERCP codes but everything else is covered by the codes for that specific part of the anatomy.

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