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CPT®
75982

CPT® Code 75982
Deleted

Code deleted, to report see 47533, 47534, 47535, 47536, 47537, 47538, 47539, 47540

Official Description

Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients with an inoperable mechanical biliary obstruction, radiological supervision and interpretation

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 75982 involves the percutaneous placement of a drainage catheter specifically designed for combined internal and external biliary drainage, or the insertion of a drainage stent for internal biliary drainage. This intervention is indicated for patients suffering from an inoperable mechanical biliary obstruction, which means that the obstruction cannot be resolved through surgical methods. The procedure is performed by a physician who carefully inserts a catheter into the bile duct, which is located near the liver. The primary purpose of this catheter is to facilitate the drainage of bile, allowing for the removal of excess fluid both externally, outside of the body, and internally, into another anatomical structure. During the procedure, the physician utilizes radiological supervision, which includes taking and interpreting X-ray images to ensure accurate placement of the catheter and to monitor the biliary system. This imaging is crucial for guiding the procedure and confirming that the catheter is correctly positioned to alleviate the obstruction and restore proper bile flow.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure is indicated for patients who present with the following conditions:

  • Inoperable Mechanical Biliary Obstruction - This condition occurs when there is a blockage in the bile duct that cannot be surgically removed, necessitating alternative methods for bile drainage.

2. Procedure

The procedural steps for CPT® Code 75982 are as follows:

  • Step 1: Patient Preparation - The patient is positioned appropriately, and the area where the catheter will be inserted is cleaned and sterilized to minimize the risk of infection. Sedation may be administered to ensure the patient's comfort during the procedure.
  • Step 2: Imaging Guidance - The physician uses imaging techniques, such as fluoroscopy or ultrasound, to visualize the bile duct and identify the exact location of the obstruction. This imaging is critical for guiding the catheter placement accurately.
  • Step 3: Catheter Insertion - A needle is inserted through the skin and into the bile duct under imaging guidance. Once the needle is correctly positioned, a guide wire is threaded through the needle, and the needle is removed. The drainage catheter is then advanced over the guide wire into the bile duct.
  • Step 4: Catheter Placement - The catheter is positioned to allow for both internal drainage into the duodenum and external drainage into a collection bag or container. The physician ensures that the catheter is securely placed and functioning properly.
  • Step 5: Confirmation and Monitoring - The physician performs additional imaging to confirm the correct placement of the catheter and to assess the flow of bile. Continuous monitoring may be conducted to ensure that the drainage is effective and that there are no complications.

3. Post-Procedure

After the procedure, the patient is monitored for any immediate complications, such as bleeding or infection. The catheter may remain in place for a specified duration, depending on the patient's condition and the effectiveness of the drainage. Patients are typically provided with instructions on how to care for the catheter site and what signs of complications to watch for. Follow-up appointments may be scheduled to assess the patient's recovery and the need for further interventions.
Short Descr CONTRAST XRAY EXAM BILE DUCT
Medium Descr PRQ PLMT INT/EXT BILIARY DRNG CATH/STENT RS&I
Long Descr Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients with an inoperable mechanical biliary obstruction, radiological supervision and interpretation
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No 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) 0 - 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 Items and Services Packaged into APC Rates
Type of Service (TOS) 6 - Therapeutic Radiology
Berenson-Eggers TOS (BETOS) I1F - Standard imaging - other
MUE Not applicable/unspecified.
CCS Clinical Classification 226 - Other diagnostic radiology and related techniques
Date
Action
Notes
2016-01-01 Deleted Code deleted, to report see 47533, 47534, 47535, 47536, 47537, 47538, 47539, 47540
Pre-1990 Added Code added.
Code
Description
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