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Wiki EGD with biliary stent removal

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jenwilson@wmhs.com

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My provider removed a biliary stent via EGD with snare. I am seening alot of mixed reviews about the correct way to code this. I have seen that you can use 43247 but I have also seen that since the stent is a therapeutic device it cannot be considered a foreign body and that 43235 should be used for the EGD. Can someone please help clarify this?
 
jenwilson@wmhs.com said:
My provider removed a biliary stent via EGD with snare. I am seening alot of mixed reviews about the correct way to code this. I have seen that you can use 43247 but I have also seen that since the stent is a therapeutic device it cannot be considered a foreign body and that 43235 should be used for the EGD. Can someone please help clarify this?
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Hi.

IMO...
If you look at code 43275 ERCP with removal of foreign body(s) or stent(s) from biliary/pancreatic ducts, there's a note below that says 'For removal of stent from biliary or pancreatic duct without ERCP, use 43247.' So, I think the 43247 EGD with removal of foreign body seems accurate.

Hope that helps.
 
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