Ask Dr. Z

Would you report codes 47511, 47500, 47555, 47999 (balloon sweep), 75982, 74363, and 74320 for the following case? "An 8 French sheath was placed into the common bile duct and a cholangiogram performed. A 5 French KMP catheter was then advanced over the wire and negotiated into the small bowel. The Glidewire was exchanged for a 0.035" Lunderquist wire. The catheter was removed over the wire, and a 10 mm x 4 cm Conquest balloon was advanced to the ampulla and sphincteroplasty performed to 8 ATM. Next, the Conquest balloon was exchanged for a 7 French Fogarty. The common bile stone was then swept into the bowel. A post cholangiogram was performed. The sheath was then exchanged for an 8 French internal external biliary drainage stent, which was secured to the skin and attached to external gravity drainage bag."