Results 1 to 3 of 3

ERCP Assistant

  1. #1
    Austin, TX
    Question ERCP Assistant
    Exam Training Packages
    I need help with this report, I don't see a tube change or anything else I can code:

    Procedure: I was called to assist Dr XX in a ERCP within the operating room. The patient had multiple duodenal diverticula making it difficult to identify the ampulla of Vater. The patient had a cholecystostomy tube in place. The tube and surrounding soft tissues were prepped and draped in the usual sterile fashion. An Amplatz wire was placed through the existing tube and negotiated through the cystic duct into the common bile duct. This would not pass into the duodenum. The catheter was then removed over the wire and a Berenstein catheter was used to negociate the wire into the duodenum after considered effort Dr XX was then able to grasp and secure this wire. The catheter was advance into the doudenum. This Amplatz wire was exchanged for an exchange length Amplatz wire. Dr XX was able to grasp this and pull it back through the mouth to assist in cannulating the common bile duct through the endoscope. The Berenstein catheter was removed.
    After some time I was called back to de Operating Room as the original wire I had placed had broken. I placed a Berenstein catheter over the wire and replace it with a second wire Dr XX provided for continued endoscopic attempt at canulating the ampulla. At this time I left the procedure.

    Thanks in advance

  2. #2
    you may be stuck with an unlisted proc. code.

  3. #3
    Austin, TX
    Thank you!

Similar Threads

  1. Ercp
    By mcamp in forum Gastroenterology
    Replies: 1
    Last Post: 07-29-2015, 10:48 PM
  2. Ercp - with no dialation
    By R1CPC in forum Gastroenterology
    Replies: 4
    Last Post: 01-27-2015, 12:39 PM
  3. 1st assistant and 2nd assistant surgeon
    By hudsondna in forum Modifiers
    Replies: 1
    Last Post: 10-13-2008, 05:23 PM
  4. Ercp ???
    By racheleporter in forum Gastroenterology
    Replies: 0
    Last Post: 08-21-2008, 01:12 PM

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.