Question

GI, Nervous and GU system discussion

1. How do you code for ERCPs? explain in detail, give an example.

2. When do you use a mesh when coding a hernia repair? Explain and give an example

3. Explain the endoscopic procedures that can be performed in the GU system.

Answer 1

1) ERCP with stenting procedures with endoscopic retrograde insertion of tube or stent into bile or pancreatic duct- 43268

43269 - ERCP with endoscopic retrograde removal of foreign body or change of stent/tubes

2) you can only charge for implantation of mesh for ventral and incisional hernias.

Laparoscopic surgical repair ventral, spigelian, and epigastric hernia ( including mesh insertion , when performed), reducible - 49652

Laparoscopic surgical repair ventral, spigelian and epigastric hernia ( including mesh insertion) incarcerated or strangulated - 49653

3) upper GI endoscopy ( EGD)- examination of oesophagus,

Stomach and upper small bowel called duodenum

Colonoscopy- examination of colon and large bowel

Enteroscopy