Hi all,
These are the codes for the below report.Pls confirm brush biopsy code (47553)
47525
47553
47505
75984-26
74320-26
Procedure:
Transcatheter cholangiogram
Exchange of transhepatic biliary drain.
Transcatheter biliary brush biopsy
Following informed consent, the right flank and right lower chest
were prepped and draped in sterile fashion. The previously placed
catheter was also prepped and draped in a sterile fashion.
Via the biliary drainage catheter, Contrast was hand injected and
transcatheter cholangiogram was performed.
A guide wire was passed into the biliary tree and into the bowel.
The previously placed biliary drain was removed. A 7-French
vascular sheath was placed until the tip was at the
biliary-enteric anastomotic site. Multiple brush biopsies (total
of 4) of the site were obtained and sent for cytologic evaluation.
A new 10.2 French internal/external biliary drainage catheter was
positioned. The catheter was secured to the skin and connected to
gravity drainage.
Findings:
Transcatheter cholangiography demonstrates interval improvement in
previously dilated biliary tree. The patient is status post right
hepato-jejunostomy. There is a high grade obstruction of the
confluence of the ducts of the right lobe extending to the
hepato-jejunostomy. This diseased segment was brushed for
cytologic evaluation and a new 10.2 Fr internal external biliary
drain was placed. The locking loop of the catheter is in the
small bowel.
Impression:
Transhepatic cholangiogram showing internal decrease in biliary
duct dilatation and persistent high grade obstruction of the right
biliary duct confluence extending to the hepata-jejunostomy.
This was brushed with four GI biopsy brush and sent for cytology.
Fluoroscopic guided exchange of 8.5 French biliary drainage
catheter for a new 10.2 Fr internal external biliary drainage
catheter.
These are the codes for the below report.Pls confirm brush biopsy code (47553)
47525
47553
47505
75984-26
74320-26
Procedure:
Transcatheter cholangiogram
Exchange of transhepatic biliary drain.
Transcatheter biliary brush biopsy
Following informed consent, the right flank and right lower chest
were prepped and draped in sterile fashion. The previously placed
catheter was also prepped and draped in a sterile fashion.
Via the biliary drainage catheter, Contrast was hand injected and
transcatheter cholangiogram was performed.
A guide wire was passed into the biliary tree and into the bowel.
The previously placed biliary drain was removed. A 7-French
vascular sheath was placed until the tip was at the
biliary-enteric anastomotic site. Multiple brush biopsies (total
of 4) of the site were obtained and sent for cytologic evaluation.
A new 10.2 French internal/external biliary drainage catheter was
positioned. The catheter was secured to the skin and connected to
gravity drainage.
Findings:
Transcatheter cholangiography demonstrates interval improvement in
previously dilated biliary tree. The patient is status post right
hepato-jejunostomy. There is a high grade obstruction of the
confluence of the ducts of the right lobe extending to the
hepato-jejunostomy. This diseased segment was brushed for
cytologic evaluation and a new 10.2 Fr internal external biliary
drain was placed. The locking loop of the catheter is in the
small bowel.
Impression:
Transhepatic cholangiogram showing internal decrease in biliary
duct dilatation and persistent high grade obstruction of the right
biliary duct confluence extending to the hepata-jejunostomy.
This was brushed with four GI biopsy brush and sent for cytology.
Fluoroscopic guided exchange of 8.5 French biliary drainage
catheter for a new 10.2 Fr internal external biliary drainage
catheter.