Surgery: Digestive System (Q&A) (March 2016)

March 2016 page 10a Surgery: Digestive System Question: How do you report the placement of two or more stents into separate bile ducts through a single percutaneous access? Answer: According to the CPT guidelines, code 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, new access, without placement of separate biliary drainage catheter, or 47540, new access, with placement of separate biliary drainage catheter (eg, external or internal-external) may...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This March 2016 CPT Assistant Q&A covers selected digestive system surgery coding topics relevant to procedural reporting and modifier use. It discusses how to approach multi-stent biliary procedures performed through one or more access sites and addresses reporting frequency for percutaneous treatment of multiple connected fluid collections. The article is most useful for coders, compliance staff, and billing professionals working with CPT surgical procedure reporting.

Why This Topic Matters

It helps readers understand the scope of CPT reporting issues discussed in the article and identify whether the guidance applies to biliary intervention or percutaneous fluid-collection treatment scenarios.

Article Sections

  1. March 2016 page 10a

    A brief introductory page reference for the issue and topic area.

  2. Surgery: Digestive System

    A short Q&A format discussion of coding questions in digestive system surgery.

  3. Question and Answer: Biliary Stent Placement

    A reporting question involving biliary interventions performed through percutaneous access, with discussion of related CPT guidance and modifier use.

  4. Question and Answer: Sclerotherapy of Multiple Lesions

    A reporting question about percutaneous treatment of multiple connected fluid collections through a single catheter access.

What You Will Learn

  • Which general digestive system surgery topics are addressed in the issue
  • How the article frames reporting questions involving percutaneous biliary interventions
  • How the article frames reporting questions involving percutaneous treatment of fluid collections
  • What kinds of CPT reporting guidance are discussed in the Q&A format

Who Should Read This

  • CPT coders
  • Medical billing staff
  • Compliance professionals
  • Revenue cycle teams
  • Digestive system surgery coding specialists

Codes Discussed

Modifiers Discussed


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