tci General Surgery Coding Alert - 2016 Issue 8

You Be the Coder: Count Stents In Some Circumstances

Question: Treatment for a biliary cancer patient involved placing two separate bile-duct stents through a single percutaneous access. This was a new access. Can we bill for two stent placements? Indiana Subscriber Answer: You can bill for two stent placements in this case. Given that you do not mention placement of separate biliary drainage catheter, the correct code is 47539 (Placement of stent[s] into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance [e.g., 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...

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