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Thread: hepatico jejunal anastomosis balloon dilatation

  1. #1

    Default hepatico jejunal anastomosis balloon dilatation

    AAPC: Back to School
    How should I code for hepatico jejunal anastomosis balloon dilatation
    Can I code 47555.

    Procedure: Risks, benefits, alternatives and possible
    complications of the procedure were discussed with the patient
    understood and consent willingly. With the patient in the supine
    position the left abdomen and indwelling catheter was prepped and
    draped in the usual sterile fashion. The indwelling stent was
    then removed over a wire and exchanged for an 8-French sheath.
    After placement of a stiff guidewire, and the stricture of the
    hepatico jejunal anastomosis was dilated using a 14-mm mm x 4 cm
    Atlas angioplasty balloon. Repeat cholangiogram was performed. A
    14 French internal external biliary drain which was then placed
    with its tip in the bowel. The external end of the catheter was
    capped to drainage bag The patient tolerated the procedure without

    Findings: Initial cholangiogram demonstrates a nondilated biliary
    system. Flow through the biliary system is noted. However,
    recurrent stricture of the hepaticojejunal anastomosis is noted.
    This stricture was dilated using a 14-mm diameter angioplasty
    balloon. The drainage of the biliary system post stenting was

    Conclusion: Cholangiogram demonstrates some flow through but with
    recurrent stricture of the hepaticojejunal anastomosis. Balloon
    dilatation of stricture of hepaticojejunal anastomosis was
    performed using a 14 -mm diameter angioplasty balloon with good
    cosmetic result. 14-French internal-external biliary drainage
    catheter left in place across the left biliary tree extending into
    the bowel. The patient is to return for follow-up examination in
    one month.
    Shirley CPC,CPC-H

  2. #2


    I am thinking 47555 would be correct

    Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent

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