Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Transhepatic cholangiogram and biliary stent placement

Date: May 6, 2024

Question:

"Right biliary system: The indwelling biliary drain was exchanged over a wire for a sheath through which contrast injection was performed. A guidewire was passed through the bile ducts and into the small bowel, and a biliary stent was deployed. An external biliary drain was placed, and final contrast injection was performed. Initial cholangiogram findings: Severe segmental distal CBD stenosis causing intra and extrahepatic biliary dilation. Stent(s) placed: 6 x 80 mm. Stent type: Uncovered. Stent position: Common bile duct. Balloon dilation of stent (mm): 8. Following this, repeat cholangiogram was performed through the sheath. This demonstrated mild delay of contrast passage into the duodenum distal to the inferior terminus of the newly placed CBD stent. The distal CBD inferior to the stent was then subsequently treated with cholangioplasty using an 8 x 40 mm balloon. Completion sheath cholangiogram demonstrated widely patent common bile duct stent with passage of bile into the duodenum. Subsequently a safety external biliary drain was placed." Should we add code 47542?

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!