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Thread: Transcatheter biliary brush biopsy

  1. #1

    Default Transcatheter biliary brush biopsy

    AAPC: Back to School
    Hi all,
    These are the codes for the below report.Pls confirm brush biopsy code (47553)

    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.

    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.

    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

  2. #2


    I was looking at:
    47552 (Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with or without collection of specimen(s) by brushing and/or washing (separate procedure)

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