During an ERCP where a stone is removed from the common bile duct, which code(s) should be reported?

Prepare for the CPT Surgery Coding Test. Study with tailored questions, flashcards, and comprehensive explanations for each question. Ace your exam!

The correct code for the procedure described, where a stone is removed from the common bile duct during an ERCP (Endoscopic Retrograde Cholangiopancreatography), is 43264. This code specifically indicates the removal of stones from the common bile duct through an endoscopic approach, which aligns with the description of the procedure.

Understanding the coding system, 43264 is designated for sphincterotomy and removal of stones via ERCP, which clearly outlines the procedure performed. It reflects the complexity and the nature of the treatment provided during the endoscopic session. In the context of other codes available, each has specific definitions and intended uses, which are important for accurate reporting and reimbursement.

The availability of related codes, such as those associated with different aspects of ERCP, emphasizes the need for careful selection based on the procedural specifics. In this scenario, the focus is on the comprehensive removal of a stone from the common bile duct, making 43264 the appropriate choice.

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