Billing Codes for Biliary Stent Systems
Billing codes will relate specifically to procedures performed and should be supported with physician documentation and medical records. Ultimately, it is the responsibility of the provider to submit appropriate codes. Abbott Vascular recommends that providers contact their Medicare Fiscal Intermediary, Carrier, and/or other Third-Party payer to verify correct coverage, coding and billing for medical procedures and products.
Hospital Inpatient Procedure Codes
Outpatient / Physician Codes / CPT® Codes
Hospital Inpatient Procedure Codes
ICD-9 Procedure Codes
|
Procedure code |
Description |
|
51.87 |
Endoscopic insertion of stent (tube) into bile duct |
|
51.98 |
Percutaneous procedure of bile duct |
Outpatient / Physician Codes / CPT® Codes
Biliary Stent Surgical and Radiology S&I CPTcodes
|
Description |
Surgical
Code
|
Radiology S&I Code |
|
Injection
procedure for percutaneous transhepatic |
47500 |
74320 |
|
Injection
procedure for cholangiography through |
47505
|
74305 |
|
Introduction of
percutaneous transhepatic stent for internal and external biliary drainage |
47511
|
75982 |
|
Change of
percutaneous biliary drainage catheter |
47525
|
75984
|
|
Biliary
endoscopy, percutaneous via T-tube or other tract; |
47556
|
74363 or 75982 |
|
Placement of choledochal stent |
47801
|
N/A |
References:
Centers for Medicare and Medicaid Services at: www.cms.hhs.gov
Centers for Medicare and Medicaid Services at: http://a257.g.akamaitech.net/7/257/2422/01jan20051800/edocket.access.gpo.gov/2005/pdf/05-22136.pdf
ICD-9-CM for Hospitals – Volumes 1,2 & 3; 2006 Professional; 6th edition; edited by Anita C. Hart, RHIA, CCS, CCS-P, Catherine A. Hopkins, Beth Ford, RHIT, CCS; Ingenix
CPT® is a trademark of the American Medical Association.
Current Procedure Terminology (CPT®) is copyright 2006. American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.
American Medical Association. Current Procedural Terminology (CPT®) 2006. Professional Edition. Chicago, IL: 2005.
Last Updated: May 2008
Disclaimer: The information provided on this website was obtained from third-party sources and is subject to change without notice, as a result of changes in reimbursement laws, regulations, rules and policies. All content on this website is informational only, general in nature and does not cover all situations or all payers’ rules and policies. This content is not intended to instruct medical providers on how to use or bill for healthcare procedures including new technologies outside of Medicare national guidelines. A determination of medical necessity is a prerequisite that Abbott Vascular assumes will have been made prior to assigning codes or requesting payments. Medical providers should consult with appropriate payers, including Medicare fiscal intermediaries and carriers, for specific information on proper coding, billing and payment levels for healthcare procedures.
This website represents no promise or guarantee by Abbott Vascular regarding coverage, coding, billing and payment levels. Abbott Vascular specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information on this website.
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