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The CPT® Code 47525 refers to the procedure known as the change of percutaneous biliary drainage catheter. This procedure is performed to replace an existing biliary drainage catheter that may be malfunctioning or needs to be updated for various clinical reasons. The process begins with the injection of a small amount of contrast media through the existing catheter. This step is crucial as it confirms the catheter's location within the bile duct, ensuring that the subsequent steps are performed accurately. Following this confirmation, a guidewire is carefully passed through the catheter and into the bile duct, which facilitates the removal of the old catheter. Once the old catheter is removed, a new catheter is introduced over the guidewire and positioned appropriately within the bile duct. After the new catheter is in place, the guidewire is removed, and additional contrast media is injected to verify that the new catheter is correctly positioned and that the bile duct remains patent, meaning it is open and unobstructed. It is important to note that the procedure of exchanging the catheter and the associated contrast injection is captured under this code, while any radiographic supervision and interpretation required during the procedure are reported separately.
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The procedure coded as CPT® 47525 is indicated for several clinical scenarios where the biliary drainage catheter requires replacement. These indications may include:
The procedure for changing a percutaneous biliary drainage catheter involves several critical steps, each designed to ensure the safe and effective replacement of the catheter. The steps are as follows:
After the procedure coded as CPT® 47525, patients may require monitoring to assess the effectiveness of the new biliary drainage catheter. It is important to observe for any signs of complications, such as infection or obstruction. Patients may also need follow-up imaging studies to ensure that the catheter remains correctly positioned and that the bile duct is functioning properly. Any necessary post-procedure care should be documented, and the patient should be informed about signs and symptoms to watch for that may indicate complications.
| Short Descr | CHANGE BILE DUCT CATHETER | Medium Descr | CHANGE PERCUTANEOUS BILIARY DRAINAGE CATHETER | Long Descr | Change of percutaneous biliary drainage catheter | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | 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) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | Not applicable/unspecified. | CCS Clinical Classification | 98 - Other non-OR gastrointestinal therapeutic procedures |
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