How To Use CPT Code 47720

CPT 47720 describes the procedure known as cholecystoenterostomy, which involves creating a connection between the gallbladder and the small intestine to allow for the drainage of bile in cases of blocked common ducts. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 47720?

CPT 47720 is used to describe the surgical procedure called cholecystoenterostomy. This procedure involves connecting the gallbladder directly to the small intestine to provide a pathway for the drainage of bile in cases where the biliary tract is affected by injury or tumors. It is important to note that this procedure is typically performed when the common duct is blocked.

2. Official Description

The official description of CPT code 47720 is: ‘Cholecystoenterostomy; direct.’ This code is used to indicate the creation of a connection between the gallbladder and the small intestine to allow for the drainage of bile when the common duct is blocked. It is important to mention that for laparoscopic approaches, CPT code 47570 should be used instead.

3. Procedure

1. During the cholecystoenterostomy procedure, the healthcare provider begins by making an incision in the abdomen.
2. They carefully assess the gallbladder and the small intestine for any defects or abnormalities.
3. If necessary, the provider incises both structures and brings a loop of the intestine up to the gallbladder.
4. They then stitch the gallbladder and the small intestine together to create the desired connection.
5. After ensuring proper alignment and secure attachment, the provider irrigates the area, checks for bleeding, removes any instruments, and closes the incision.

4. Qualifying circumstances

CPT 47720 is performed in cases where there is a need to establish a direct connection between the gallbladder and the small intestine due to a blocked common duct. This procedure is typically indicated when there is injury or the presence of tumors involving the biliary tract. It is important to note that this procedure should only be performed by a qualified healthcare professional with the necessary expertise and training.

5. When to use CPT code 47720

CPT code 47720 should be used when the healthcare provider performs a cholecystoenterostomy procedure to create a direct connection between the gallbladder and the small intestine. This procedure is specifically indicated when there is a blocked common duct. It is important to ensure that the procedure meets the specific criteria outlined in the official description of the code.

6. Documentation requirements

To support a claim for CPT 47720, the healthcare provider must document the following information:

• Patient’s diagnosis indicating the need for a cholecystoenterostomy procedure
• Details of the procedure performed, including any modifications or variations
• Date of the procedure
• Any complications or unexpected findings during the procedure
• Post-procedure care instructions and follow-up plans
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 47720, it is important to ensure that the procedure meets the specific criteria outlined in the official description. Additionally, it is crucial to follow the appropriate coding guidelines and modifiers. It is recommended to review the specific billing guidelines provided by the payer to ensure accurate and timely reimbursement.

8. Historical information

CPT code 47720 was added to the Current Procedural Terminology system on January 1, 1990. It is important to note that there have been no updates or changes to this code since its addition.

9. Examples

1. A patient with a blocked common duct undergoes a cholecystoenterostomy procedure to establish a direct connection between the gallbladder and the small intestine.
2. A healthcare provider performs a cholecystoenterostomy to allow for the drainage of bile in a patient with biliary tract tumors.
3. In a case of injury to the biliary tract, a cholecystoenterostomy is performed to provide a pathway for the drainage of bile.
4. A patient with a blocked common duct due to a tumor undergoes a cholecystoenterostomy to alleviate symptoms and improve bile flow.
5. A healthcare provider performs a cholecystoenterostomy to address complications arising from a previous gallbladder surgery.
6. In a patient with a blocked common duct, a cholecystoenterostomy is performed to restore proper bile flow and prevent further complications.
7. A cholecystoenterostomy procedure is performed to provide a long-term solution for a patient with recurrent biliary tract obstructions.
8. A patient with a history of biliary tract injury undergoes a cholecystoenterostomy to improve bile drainage and prevent further complications.
9. In a case of biliary tract tumors, a cholecystoenterostomy is performed to establish an alternative pathway for bile drainage.
10. A healthcare provider performs a cholecystoenterostomy to address a blocked common duct and alleviate symptoms in a patient with gallbladder disease.