Results 1 to 3 of 3

EGD with removal Pancreatic Stent

  1. Default EGD with removal Pancreatic Stent
    Medical Coding Books
    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.


  2. Smile Lisa Hopman
    43247 Would be the correct Cpt . I work for a group of 12 GI doctors and this is a common procedure.

  3. #3
    43247 would be the correct one to go with. Even though the stent was purposely placed into the body, it is considered a foreign body for coding purposes

    Stedmans Medical Dictionary definition:

    anything of material substance in the tissues or cavities of the body that has been introduced there from without, and that is not rapidly absorbable.

Similar Threads

  1. Bile stent removal via EGD
    By slmccleskey in forum Gastroenterology
    Replies: 1
    Last Post: 04-20-2015, 03:05 PM
  2. Follow-up X-ray to evaluate biliary/pancreatic stent
    By Janine Rogers in forum Interventional Radiology
    Replies: 0
    Last Post: 03-14-2013, 08:03 AM
  3. Egd with Stent Removal
    By berni1123 in forum Gastroenterology
    Replies: 2
    Last Post: 11-08-2012, 09:35 AM
  4. stent removal w/ egd
    By sundaey in forum Gastroenterology
    Replies: 3
    Last Post: 02-03-2010, 08:09 AM
  5. EGD w Stent
    By NJcoder in forum Gastroenterology
    Replies: 0
    Last Post: 11-13-2008, 11:39 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.