CPT® Code 74291

Deleted

1. Indications

Cholecystography is indicated for the evaluation of various conditions related to the gallbladder. The following are specific indications for performing this procedure:

• Gallbladder Disease The procedure is often performed to assess for gallstones, inflammation, or other pathological conditions affecting the gallbladder.
• Preoperative Assessment It may be indicated prior to gallbladder surgery to provide detailed imaging of the gallbladder's anatomy and function.
• Postoperative Evaluation Cholecystography can be used to evaluate the gallbladder after surgical procedures to ensure proper healing and function.

2. Procedure

The cholecystography procedure involves several key steps to ensure accurate imaging of the gallbladder. The following outlines the procedural steps:

• Step 1: Patient Preparation The patient is instructed to fast for a specified period before the procedure to ensure that the gallbladder is adequately filled with the oral contrast material. This preparation is crucial for obtaining clear images.
• Step 2: Administration of Oral Contrast The patient swallows a special dye, which is the oral contrast agent. This dye is designed to be absorbed by the gallbladder, allowing it to be visualized on X-ray images.
• Step 3: Imaging After a designated time for the contrast to reach the gallbladder, the physician takes X-ray images. These images capture the gallbladder's structure and any potential abnormalities.
• Step 4: Additional Imaging (if necessary) If further evaluation is required, additional X-rays may be taken at a later time or on multiple days to provide a comprehensive assessment of the gallbladder's condition.

3. Post-Procedure

After the cholecystography procedure, patients may be monitored for any immediate reactions to the oral contrast material. It is generally expected that patients can resume normal activities shortly after the procedure. However, they may be advised to drink plenty of fluids to help flush the contrast material from their system. Follow-up appointments may be scheduled to discuss the results of the imaging and any further necessary evaluations or treatments based on the findings.