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The procedure described by CPT® Code 47530 involves the revision and/or reinsertion of a transhepatic tube, which is a type of catheter used to drain bile from the liver. This procedure is typically necessary when a transhepatic tube, such as a T-tube or U-tube, has become dislodged or obstructed. Dislodgement can occur due to various reasons, including patient movement or complications during treatment, while obstruction may result from sediment buildup within the tube. In cases of obstruction, the physician may utilize a guidewire and/or torque cables to navigate through the tube, aiming to dislodge any sediment that may be causing the blockage. Additionally, the physician may perform irrigation or aspiration to clear the tube of any obstructive material. If the tube has been dislodged, the physician will insert a straight or steerable biliary catheter through the existing tube or skin tract, carefully manipulating the tube back into its correct position. To confirm the proper placement of the catheter within the bile duct and to ensure that the bile duct remains patent, contrast material is injected following the revision or reinsertion. It is important to note that the procedure includes both the revision or reinsertion of the catheter and the contrast injection, while any radiographic supervision and interpretation required during the procedure are reported separately.
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The procedure associated with CPT® Code 47530 is indicated for specific clinical scenarios where a transhepatic tube requires intervention. The following conditions may warrant this procedure:
The procedure for CPT® Code 47530 involves several critical steps to ensure the successful revision or reinsertion of the transhepatic tube. Each step is essential for restoring the functionality of the tube and maintaining bile drainage.
After the completion of the procedure, the patient may require monitoring to assess the effectiveness of the tube revision or reinsertion. Expected recovery may vary based on the individual patient's condition and the complexity of the procedure. The physician may provide specific post-procedure care instructions, which could include guidelines for activity restrictions, signs of complications to watch for, and follow-up appointments to ensure the continued functionality of the transhepatic tube. It is essential to document the procedure thoroughly, including any imaging studies performed and the outcomes of the contrast injection, to support ongoing patient care and management.
| Short Descr | REVISE/REINSERT BILE TUBE | Medium Descr | REVISION &/REINSERTION TRANSHEPATC TUBE | Long Descr | Revision and/or reinsertion of transhepatic tube | 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) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | 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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