Maarit Posted Tue 01st of May, 2012 16:50:39 PM
Would you code the below ERCP: 43260 - 52?
The patient was in left lateral position and the ampulla appears normal with some bile flow from oriffice but is also covered with prominent duodenal fold. Cannulation of the bile duct was not successful and after 10 attempts the patient was repositioned to supine position and again 10 attempts to cannulate the bile duct failed. While a bit of contrast was injected twice no contrast filled any duct and the wireguire 0.025" did not slide into a duct. The position of the ampulla in relation to the cannula was too angulated to expect success and after some edema of the ampulla developed from all the attempts the procedure was concluded.
SuperCoder Answered Tue 01st of May, 2012 18:36:28 PM
Yes as per the documentation it seems Reduced ERCP with unsuccessful cannulation of bile duct.