Wiki Same stent placement/removal, non-balloon dilation

[cindyseyer]

Our patient underwent an ERCP with placement of a stent, but since it gave no improvement of bile flow, it was immediately removed. Also, a sphincterotomy was done along with cannulation and catheter dilation via guidewire and successive dilators (Sohendra). I do not believe these to be balloon dilators. I am looking at coding this as 43269, 43262, 43273. Or would you code the stent at all since it was not successful?

 

[hutchinson]

i would code the 43269 with a -53 modifier attached. i would also add 43271 for the dilation.

 

[Colliemom]

You would use 43271, which is a balloon dilation, for a dilation done without a balloon?