CPT® Code 74320

Deleted

1. Indications

The cholangiography procedure described by CPT® Code 74320 is indicated for several specific clinical scenarios. These indications may include:

• Evaluation of Bile Duct Obstruction The procedure is performed to assess for any blockages in the bile duct that may be causing symptoms such as jaundice or abdominal pain.
• Investigation of Biliary Tract Diseases It is utilized to diagnose conditions affecting the biliary system, including cholangitis, choledocholithiasis (bile duct stones), or tumors.
• Assessment of Bile Duct Anatomy The procedure helps in visualizing the anatomical structure of the bile duct, which is essential for planning surgical interventions or other therapeutic procedures.

2. Procedure

The cholangiography procedure involves several key steps that ensure accurate imaging and interpretation of the bile duct. These steps include:

• Step 1: Patient Preparation Prior to the procedure, the patient is prepared by obtaining informed consent and ensuring that they are in a comfortable position. The physician may also review the patient's medical history and any previous imaging studies to understand the context of the procedure.
• Step 2: Accessing the Bile Duct The physician uses imaging guidance to identify the appropriate entry point for the procedure, typically through the skin and into the liver. A needle is inserted percutaneously to access the bile duct, allowing for the introduction of the contrast dye.
• Step 3: Injection of Contrast Dye Once access is achieved, a special contrast dye is injected into the bile duct. This dye enhances the visibility of the bile duct on X-ray images, allowing for detailed visualization of its structure and any potential abnormalities.
• Step 4: Radiological Imaging After the dye is injected, X-ray images are taken to visualize the bile duct. The radiologist supervises this process, ensuring that the images are captured correctly and that the procedure is conducted safely.
• Step 5: Interpretation of Results Following the imaging, the radiologist interprets the X-ray images to identify any issues such as obstructions, strictures, or other pathologies. The findings are documented and communicated to the referring physician for further management.

3. Post-Procedure

After the cholangiography procedure, patients are typically monitored for any immediate complications, such as bleeding or infection at the access site. Depending on the patient's condition and the findings from the procedure, further management may be required. Patients may be advised to rest and avoid strenuous activities for a short period following the procedure. Additionally, the physician may provide specific instructions regarding follow-up appointments or additional imaging studies if necessary. It is important for patients to report any unusual symptoms, such as increased pain or fever, to their healthcare provider promptly.