43264, if stones are found and removed, otherwise 43271
according tothe AAPC Specialty Study Guide Gastroenterology 2007 pg 76:
"During an ERCP, your gastrenterologist extracts 4 stones from the pt's pancreatic duct using a basket technique.
The basket technique.....
To report this procedure you should use 43264. You should submit a single unit of 43264, regardless of the number of calculi the physician extracts. And you would stick with this code if the gastroenterologists uses a balloon to remove stoes rather than a basket.
Warning: You might be tempted to report 43271 in addition to 43264, but you shouldn't because there's no ductal dilation when the physician removes calculi, even if she uses a balloon during the procedure."
Now I have all kinds of other books for gastro and I don't see anything like this anywhere else, but I also don't see anything that would negate the previous statement either.
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