ERCP via Altered Anatomy from Bariatric Surgery

Hi All: In our practice we have this happen fairly often and it has come into question on if we are billing this correctly or not. Here is the situation: Patient has had a previous Roux-en Y done, GI providers want to do an ERCP but because of the altered anatomy they ask either our Bariatric Surgeon or one of the GS surgeons to come in and provide a gastric access by gastrostomy. GI comes in and then does the ERCP and then GS or Bari surgeons close. Could I get some opinions on how you would bill this? We are currently billing for GS/Bariatrics a 43653 and then GI bills out the ERCP (43260,43262-65, 43273-78).



Any suggestions would be greatly appreciated!

Thank you!



Jill Oechsle, CPC

Centracare Health Bariatric/GS Surgery.

Comments

  • Does anyone have any suggestions on the situation below?
    Thank you for your opinion on this,


    Jill Oechsle, CPC | Coding Specialist II | CentraCareHealth
    * (320) 251-2700 ext. 24559 | * Oechslej@centracare.com
  • Thank you for the direction to go on this Jan.
    As far as the modifier-65 I was just meaning CPT codes 43260, 43262-43265, 43273-43278. Sorry, should not have appreviated those range of codes.
    Thanks again,


    Jill Oechsle, CPC | Coding Specialist II | CentraCareHealth
    * (320) 251-2700 ext. 24559 | * Oechslej@centracare.com
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