I have the following procedure to code.
PROCEDURE: Upper GI endoscopy and removal pancreatic stent.
INDICATION FOR PROCEDURE: The patient no longer needs stenting.
INSTRUMENT USED: Olympus therapeutic side-viewing duodenoscope.
FINDINGS: Instrument advanced easily through the mouth into the esophagus. Advanced rapidly through the stomach into the duodenum. The stent was found _____ folds, grasped with a rat-tooth biopsy forceps and removed with gentle traction. The patient tolerated the procedure well.
IMPRESSION: Removal of pancreatic stent.
PLAN: We will see in followup.
There seems to be two though processes on coding this:
Method 1) This is an EGD with FB removal and would code to 43247 (Upper GI endoscopy; with removal of foreign body). I question this as a stent is not a FB as it is an intentionally inserted device.
Method 2) This is a removal of stent (pancreatic) and would code to 48999 (unlisted procedure, pancreas (requires additional report/information to be submitted).
Any guidance would be appreciated.
Rick
PROCEDURE: Upper GI endoscopy and removal pancreatic stent.
INDICATION FOR PROCEDURE: The patient no longer needs stenting.
INSTRUMENT USED: Olympus therapeutic side-viewing duodenoscope.
FINDINGS: Instrument advanced easily through the mouth into the esophagus. Advanced rapidly through the stomach into the duodenum. The stent was found _____ folds, grasped with a rat-tooth biopsy forceps and removed with gentle traction. The patient tolerated the procedure well.
IMPRESSION: Removal of pancreatic stent.
PLAN: We will see in followup.
There seems to be two though processes on coding this:
Method 1) This is an EGD with FB removal and would code to 43247 (Upper GI endoscopy; with removal of foreign body). I question this as a stent is not a FB as it is an intentionally inserted device.
Method 2) This is a removal of stent (pancreatic) and would code to 48999 (unlisted procedure, pancreas (requires additional report/information to be submitted).
Any guidance would be appreciated.
Rick