drobinson1
Networker
Can someone please give me some CPT assitance. I believe I should code this report with 47525, 75984,47999, and 99144 but I am not sure.
The patient was placed on table in supine position.
Monitored conscious sedation was administered for 30 minutes.
The indwelling right internal/external biliary drainage
catheter and surrounding skin were prepped and draped in sterile fashion.
Local anesthesia was infused at the entry site. Small amount of contrast
was introduced via the catheter to opacify the biliary system. The
indwelling 8 French internal/external biliary drainage catheter was
exchanged out over an Amplatz guidewire. A 6 French Balkan sheath was
then advanced across the occluded segment of the distal common bile duct
at the enteric anastomosis. Cytology brush was advanced to the Balkan
sheath and positioned across the occluded segment and brushings obtained.
To cytology brushes were utilized in series. Both were processed inside
light for cytopathology. Next, the Balkan sheath was exchanged out over
the Amplatz wire for a new 8 French internal/external biliary drain. The
distal loop was formed within the jejunum in the proximal side holes
positioned along the common hepatic duct and extending into the central
aspect of the right intrahepatic bile duct. Catheter was flushed and
returned to external gravity drainage. The catheter was secured at the
skin with suture of 2-0 Ethilon an sterile dressing applied. Patient
tolerated the procedure well. No complication was encountered.
The patient was placed on table in supine position.
Monitored conscious sedation was administered for 30 minutes.
The indwelling right internal/external biliary drainage
catheter and surrounding skin were prepped and draped in sterile fashion.
Local anesthesia was infused at the entry site. Small amount of contrast
was introduced via the catheter to opacify the biliary system. The
indwelling 8 French internal/external biliary drainage catheter was
exchanged out over an Amplatz guidewire. A 6 French Balkan sheath was
then advanced across the occluded segment of the distal common bile duct
at the enteric anastomosis. Cytology brush was advanced to the Balkan
sheath and positioned across the occluded segment and brushings obtained.
To cytology brushes were utilized in series. Both were processed inside
light for cytopathology. Next, the Balkan sheath was exchanged out over
the Amplatz wire for a new 8 French internal/external biliary drain. The
distal loop was formed within the jejunum in the proximal side holes
positioned along the common hepatic duct and extending into the central
aspect of the right intrahepatic bile duct. Catheter was flushed and
returned to external gravity drainage. The catheter was secured at the
skin with suture of 2-0 Ethilon an sterile dressing applied. Patient
tolerated the procedure well. No complication was encountered.