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Thread: 43269 & 43268

  1. #1

    Default 43269 & 43268

    AAPC: Back to School
    If a stent is removed from the major papilla & a stent is placed in the common bile duct can I bill 43269 & 43268 or just 43269?

  2. #2
    Join Date
    Apr 2007


    Per encoder, you may not use them together. Its one or the other. I would use 43269

  3. #3


    Thank you!!!

  4. #4
    Join Date
    Apr 2007


    NCCI edits list these two codes as mutually exclusive, but allows the modifier to bypass the edit when the stents are in two different locations. I would bill this as 43269, 43268-59.
    Jenny Berkshire, CPC, CEMC, CGIC

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