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Laparoscopic Lithotripsy of common bile duct stone and cholecystectomy

Cheryl Posted Tue 09th of August, 2016 14:56:30 PM
During a laparoscopic cholecystectomy the surgeon did an intraperative cholangiogram and when no passage of contrast did a repeat cholangiogram. This also showed obstruction. The surgeon then used a choledochoscope to explore the common bile duct and found a large stone obstructing the duct. He tried pushing the stone through as well as using lithotripsy to try and break the stone up. Finally just removing the gallbladder and placing a drain. Leaving the stone for future ERCP at another facility. This was all done laparoscopic. What CPT codes would best fit this surgery?
SuperCoder Answered Wed 10th of August, 2016 01:01:12 AM
Hi, As per above documentation CPT code 47564 seems appropriate.For intraoperative cholangiography radiological supervision and interpretation, see 74300-74301. Hope that helps!

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