AAPC - Back to school
Results 1 to 3 of 3

Thread: Balloon Sweeep w/o Removing Stones

  1. #1

    Default Balloon Sweeep w/o Removing Stones

    AAPC: Back to School
    Can we bill for a 43264 when they discover no stones present? Or can we bill with a 52 reduced services modifier? The doctor still did the procedure, there just wasn't any stones present. Thanks from Digestive Health Associates of Southwest Michigan!

  2. #2


    At that point I've heard you can bill 43271 for balloon dialation.


  3. #3

    Default Ercp

    During ERCP, it is routine to do a sweep to make sure the ducts are clear.
    In the event that sludge and stones were removed.... charge 43264.
    I would not use 43271 unless it is specifically documented that the bile duct and / or pancreatic duct was dilated during the procedure. If there are no stones, I would use 43260.

    Mary Jo Russman, CPC, CGIC, CMC
    Cleveland Clinic Digestive Disease Institute
    Last edited by russmam; 06-24-2011 at 09:51 AM. Reason: added a phrase

Similar Threads

  1. 42330 sialolith removing 2 stones
    By nparmele in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 02-22-2012, 09:35 AM
  2. No stones delivered
    By bridgettemartin in forum Gastroenterology
    Replies: 1
    Last Post: 02-15-2012, 09:45 AM
  3. 2 procedures 2 stones same ureter?
    By KATHY WILHELMSEN in forum Urology
    Replies: 1
    Last Post: 09-29-2011, 05:56 PM
  4. 50590 multiple stones
    By KDickinson in forum Urology
    Replies: 0
    Last Post: 02-22-2011, 09:11 AM
  5. icd9 tonsil stones - Can anyone tell me
    By mamacase1 in forum Diagnosis Coding
    Replies: 1
    Last Post: 12-27-2010, 09:32 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.