2025 CPT code 47532
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Digestive System - Percutaneous Biliary Procedures Surgery Feed
Percutaneous diagnostic cholangiography, including contrast injection, imaging guidance, and radiological supervision; new access.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 59 for multiple procedures, 76 for repeat procedure).
Medical necessity for 47532 is established when clinical findings, such as symptoms and lab values, suggest biliary pathology requiring visualization to diagnose or guide further treatment.This can include evaluation of suspected stones, strictures, tumors, or other abnormalities of the biliary tree.
A radiologist or other qualified healthcare professional with expertise in interventional radiology performs this procedure. Responsibilities include patient assessment, selecting the appropriate access site,performing the percutaneous access, injecting contrast material, interpreting the images, and providing post-procedure care.
In simple words: This procedure uses imaging (like ultrasound or X-rays) to take pictures of your bile ducts.A small tube is inserted into the ducts through a tiny incision in your skin. A special dye is injected to improve the image clarity, allowing doctors to check for problems such as blockages or narrowing.
This CPT code encompasses percutaneous diagnostic cholangiography.The procedure involves creating a new access route to the biliary system, injecting contrast material, utilizing imaging guidance (ultrasound and/or fluoroscopy), and providing all associated radiological supervision and interpretation.Needle or catheter access to the biliary system is included.
Example 1: A patient presents with jaundice and elevated liver enzymes, suggesting possible biliary obstruction.A percutaneous transhepatic cholangiogram (PTC) is performed via 47532 to visualize the biliary tree and identify the location and cause of the obstruction., A patient has undergone a previous cholecystectomy and now experiences recurrent episodes of biliary pain.A 47532 is performed to assess for strictures or stones in the common bile duct. , A patient with a history of pancreatic cancer presents with new onset jaundice. A PTC (47532) is conducted to evaluate for biliary obstruction caused by tumor compression or invasion.
Detailed history and physical examination findings, including symptoms (e.g., jaundice, abdominal pain, fever), relevant lab results (e.g., liver function tests, bilirubin levels), imaging studies (e.g., ultrasound, CT scan), procedure report including the location of access, technique utilized, amount and type of contrast material injected, images obtained, and interpretations.Consent form.
** Code 47532 should only be reported once per session, even if multiple access attempts are made. Accurate coding depends on clear documentation detailing the procedure's specifics.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Radiology, Gastroenterology, Surgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center