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The CPT® Code 47511 refers to the procedure involving the introduction of a percutaneous transhepatic stent for the purpose of internal and external biliary drainage. This procedure is essential for patients who have obstructions in their bile ducts, which can lead to complications such as jaundice or cholangitis. The process begins with the preparation of the skin and making an incision at the designated site, typically located either over the right midaxillary line below the tenth rib for access to the right hepatic lobe or over the epigastrium for access to the left hepatic lobe. A small needle is then inserted through the skin into the bile duct, and contrast media is injected to confirm the needle's correct placement. Following this, a guidewire is introduced into the bile duct, allowing for the insertion of a coaxial exchange catheter. This catheter is used to navigate the bile duct, and any strictures present are dilated. In this procedure, a stent is placed to maintain patency in the bile duct, facilitating the drainage of bile into the small intestine. The stent is designed to have one end within the bile duct and the other exiting through the skin for external drainage. The procedure also includes the injection of additional contrast to verify that the bile duct remains open after the stent placement. It is important to note that the radiographic supervision and interpretation of the procedure are billed separately, ensuring that all aspects of the procedure are accurately documented and reimbursed.
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The procedure associated with CPT® Code 47511 is indicated for patients experiencing biliary obstruction due to various conditions. The following are the explicitly provided indications for performing this procedure:
The procedure for CPT® Code 47511 involves several critical steps to ensure successful placement of the biliary stent. The following procedural steps are outlined:
Post-procedure care for patients undergoing the CPT® Code 47511 procedure includes monitoring for any complications such as infection or bleeding at the insertion site. Patients may require follow-up imaging to assess the patency of the stent and ensure that bile is draining effectively. It is also important to provide instructions regarding care of the external drainage site to prevent infection and ensure proper function. Patients should be educated on signs of complications, such as increased pain, fever, or changes in bile output, and advised to seek medical attention if these occur. Regular follow-up appointments may be necessary to evaluate the stent's function and determine if further intervention is required.
| Short Descr | INSERT BILE DUCT DRAIN | Medium Descr | INTRODUCJ PERCUT TRANSHEPATC STENT BILIARY DRG | Long Descr | Introduction of percutaneous transhepatic stent for internal and external biliary drainage | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 99 - Other OR gastrointestinal therapeutic procedures |
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