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CPT® 43274, Under Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedures

The Current Procedural Terminology (CPT®) code 43274 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedures.

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Summary

The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images of the gallbladder, pancreas, and bile ducts) and places a stent in a biliary or pancreatic duct. The procedure may require passage of a guidewire and dilators or a incision of a sphincter before placing the stent.

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Have a question about CPT Code 43274 ? Start a discussion here
Endoscopic Biliary Rendezvous CPT
Hello. I am looking for a procedure code to bill for an endoscopic transduodenal biliary stent placement. There was no percutaneous access, therefore 47541 would not be correct. Would I bill the re... [ Read More ]
ERCP w/stent placement question
I have this note coded 43274, 43274,59, & 43264,59. Both pancreatic duct and common bile duct stents were placed along with removal of sludge, however; the pancreatic duct stent fell out during the s... [ Read More ]
ERCP
[QUOTE="clwilliamson, post: 482595, member: 559931"] I am new to gastro coding and need assistance with this op report. Would I code this as 43274? Would a modifier be needed? Thanks! PROCEDURE: ERCP... [ Read More ]
ERCP ercp stent
I am new to gastro coding and need assistance with this op report. Would I code this as 43274? Would a modifier be needed? Thanks! PROCEDURE: ERCP, placement of a pancreatic stent, removal of a pancr... [ Read More ]
Global Period for 43274
Is a patient hospital visit 99222 allowed 24 hours prior to physician performing a 43274 the next day? It has triple zero global days yet the Ins company is not paying stating that the visit is incl... [ Read More ]
Ercp
can I code 43274 ERCP w/Insertion Tube with 43277 ERCP w /balloon Dilation of Ampulla?... [ Read More ]
Ercp
hello, What would you code for ERCP if a stent was removed from the biliary tree (no specification from which duct), and then a stent was placed in the left hepatic duct and one in the right hepatic... [ Read More ]
Coding EUS and ERCP on same day
Hi. I am new to the coding world. I work for a GI physician. He did an EUS and an ERCP with fluoroscopic guidance. I billed it as I was instructed as 43274-59 (ERCP with stent placement), 43259 (E... [ Read More ]
Need help coding ERCP Stent Exchange
Thank you for your response! Wouldn't the work for removal of PTC be included in 47537, and if I coded 43276 would that be considered double billing? My thinking is since there are 2 different techn... [ Read More ]
Need help coding ERCP Stent Exchange
[b]ERCP stent exchange[/b] From the notes I would code the following: 47537 1.Prior percutaneous transhepatic cholangiogram in place, ultimately removed 43276 2. catheterization of common bile... [ Read More ]
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