Please note this question was answered in 2022. The coding advice may or may not be outdated.
Percutaneous Endoscope with Cholecystostomy Tube
Question:
I'm a charge analyst at a hospital. Our radiologists are using endoscopes occasionally with percutaneous procedures. We had a patient with a cholecystostomy tube where the radiologist used an endoscope with an attempt to cross the cystic duct.
"The Spyglass endoscope was introduced through an 11 French sheath. Visualization of the gallbladder demonstrates small gallstones. The origin of the cystic duct was visualized. The scope was advanced to the cystic duct. Multiple attempts were made to advance a wire through the cystic duct without success due to extreme tortuosity of the cystic duct. Given the difficulty decision was made to abandon attempts at internalizing the cholecystostomy tube. The endoscope was removed. A wire was advanced through the 11 French sheath. The sheath was removed over a wire. A new 12 French cholecystostomy tube was placed."
Is it appropriate to report 47552 and 47536? I'm questioning 47552 since the code description states "diagnostic".
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