Wiki stent removal w/ egd

EGD for the purpose of stent removal

I have seen that EGD's are being performed for stent removal and are being submitted for billing as foreign body removal. This is incorrect, per Correct Coding Initiative (CCI) the CPT code 43247 is not to be used for the removal of therapeutic devices. I have been changing this to 43235 when no other procedure has been billed. In the case that a biopsy was done along with a stent removal the biopsy CPT 43239 would be the only code billed.



Review the document in this link, please "You be the Coder" on document pages 29 (the question) and document page 31 (the answer).



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Hello,

Per Codify Note:

(For removal of stent from biliary or pancreatic duct without ERCP, use 43247)

See note under CPT 43275
 
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