A patient with known pseudocyst of the pancreas is admitted for endoscopic retrograde cholangiopancreatography (ERCP) and pseudocyst drainage. Multiple balloon sweeps were made of the common bile duct and a 10 French x 7 plastic biliary stent was successfully deployed across the papilla. Then the pancreatic pseudocyst was punctured and aspirated, and a tube placed for continued drainage from the pancreatic pseudocyst to the stomach using ultrasound guidance. What are the appropriate ICD-10-PCS procedure code assignments?
The aspiration and puncture of the pancreatic pseudocyst is captured by the drainage code. Therefore no separate code is assigned for puncturing and aspirating the pseudocyst. Assign the following ICD-10-PCS codes:
0F798DZ Dilation of common bile duct with intraluminal device, via natural or artificial opening endoscopic
0F9G40Z Drainage of pancreas with drainage device, percutaneous endoscopic approachIf desired, assign also code BF47ZZZ, Ultrasonography of pancreas, for the ultrasound guidance.