Hello all,
I am verifying what code would be used along with, when pt. has 47505/74305. Guidewire inserted through existing biliary cath and advaced to sm.bowel. Catheter removed, over wire a sheath is inserted & advanced as distally as possible. A 5 fr diagnostic cath is insered to gastroenteric anastomosis. At completion of procedure guidewire was left in place through diagnostic cath along with 8 fr sheath. Pt then was transferred to the GI dept for their procedure.
Pt. returns to IR and asked to reinsert external biliary catheter.
What would you code this as? The 1st part is what I am really questioning. Should an exchange 47525/75984 be billed for part 1 and if so, if there is no biliary catheter left in place only a diagnostic catheter, then we are getting hit with a device code edit?
Thoughts?
Thanks, Liza
I am verifying what code would be used along with, when pt. has 47505/74305. Guidewire inserted through existing biliary cath and advaced to sm.bowel. Catheter removed, over wire a sheath is inserted & advanced as distally as possible. A 5 fr diagnostic cath is insered to gastroenteric anastomosis. At completion of procedure guidewire was left in place through diagnostic cath along with 8 fr sheath. Pt then was transferred to the GI dept for their procedure.
Pt. returns to IR and asked to reinsert external biliary catheter.
What would you code this as? The 1st part is what I am really questioning. Should an exchange 47525/75984 be billed for part 1 and if so, if there is no biliary catheter left in place only a diagnostic catheter, then we are getting hit with a device code edit?
Thoughts?
Thanks, Liza