Home » IR procedure » Coding tricks for CPT code 47531, 47537, 43738, 43739, 43740, 43741 & +43742

Coding tricks for CPT code 47531, 47537, 43738, 43739, 43740, 43741 & +43742

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In 2017, there have been lot of revised CPT codes. As we have already seen all the new CPT codes changes in 2017 in coding angioplasty procedures and spinal injection procedures. The main reason for revision of CPT codes in 2017 is the removal of moderate conscious sedation services. Earlier the conscious sedation services were included in the surgery codes but from now we have new CPT codes for moderate conscious sedation which needs to be used for coding these services separately. Now, there are few changes in the codes description for diagnostic and stent placement procedures in bile duct. Yes, in 2017 the CPT code 47531, 47537, 43738, 43739, 43740, 43741 & + 43742 have been revised and used for coding bile stent placement procedures. So, let us checkout more about these procedures in detail.

Coding tricks for CPT code 47531, 47537, 43738, 43739, 43740, 43741 & +43742

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CPT code description of 47531, 47537, 43738, 43739, 43740, 43741 & + 43742

The above CPT codes describe the percutaneous biliary interventional procedures including cholangioplasty, stent placement, and associated imaging and catheter placements.  All these codes include all the imaging guidance like fluoroscopy or ultrasound performed during these exams. Also all the radiological supervision and interpretation (S&I) services are included in these CPT codes. Below is the detail code description of these CPT codes.

47531 – Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access

47537 -Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

47538 -Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; existing access

47539 -Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter

47540 -Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)

47541 – Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access

+47542 – Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each duct (List separately in addition to code for primary procedure)

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Do and Don’t of CPT code 47531, 47537, 43738, 43739, 43740, 43741 & + 43742

Do not code CPT code 74363 as S&I with CPT codes 47538, 47539, 47540, 47542, because all S&I services are included in these CPT codes.

Do use CPT code 47542 as an add-on code along with procedure codes 47531-47537 and 47541.

Code 47542 once when multiple balloon dilations are performed via a single access.

Do code biliary tube removal CPT code 47537 with cholangioplasty, but do not code with stent placement procedures.

Codes 47538, 47539, and 47540 include all diagnostic cholangiography and hence do not report CPT code 47531 or 47532 along with these CPT codes. Also the imaging guidance like fluoroscopy, ultrasound, CT, MRI are included in these procedures codes, hence do not code them separately.

 

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