A patient with abnormal liver function test and acute pancreatitis suspected of being due to gallstones, underwent endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and pancreatic stent insertion. During the procedure, the biliary tree was swept with a balloon, but no stones were found. What is/are the correct root operation(s) for ERCP with sphincterotomy and pancreatic stent insertion? Is a separate code assigned for the balloon sweep, since the intent was to remove any stones that may have been present?
Assign the following ICD-10-PCS code:
0F7D8DZ Dilation of pancreatic duct with intraluminal device, via natural or artificial opening endoscopic, for the ERCP with placement of the stent in the pancreatic ductIf stones had been found and removed from the biliary tree via the balloon sweep, the root operation would have been “Extirpation,” as that was the intended objective of the procedure. No code is assigned for the various sphincterotomies, since they were done to reach the procedure sites.