Prior Auth Required

43262 - Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceEndoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 43260 brushing or washing, when performed (separate procedure) Code NAME/DESCRIPTION COMMENTS 43262 Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from 43264 biliary/pancreatic duct(s)

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.