Wiki ERCP question ampullectomy

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I have an op report w/two stent placements, debris removal, w/contrast and injection that was interpreted and reviewed, but he also did a Ampullary resection w/a hot snare removal. A lift was performed, and a clip was placed. I can't find a code for this unless it's an unlisted procedure...if so, what CPT would you compare it to. Thanks
 
I see the following
43274
43274
w/two stent placements

43254
resection w/a hot snare removal. A lift was performed, and a clip was placed.

74328.26

The documentation is kind of weak to support a EMR 43254, but I think that’s what they did. Otherwise you’d have to change 43254 to these codes.
43251 + 43236
 
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