How To Use CPT Code 47765

CPT 47765 describes the procedure of creating an opening between the biliary ducts outside of the liver and the small intestine. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 47765?

CPT 47765 can be used to describe the surgical procedure in which a healthcare provider creates a connection between the biliary ducts outside of the liver and the small intestine. This procedure is performed to facilitate the flow of bile from the liver to the small intestine.

2. Official Description

The official description of CPT code 47765 is: ‘Anastomosis, of intrahepatic ducts and gastrointestinal tract.’

3. Procedure

1. The healthcare provider prepares the patient and administers anesthesia.
2. An incision is made in the abdomen to access the biliary ducts and the small intestine.
3. The provider carefully separates the extrahepatic ducts from the liver.
4. The provider then connects the biliary ducts to the small intestine using sutures or staples.
5. The area is irrigated, checked for bleeding, and any instruments are removed.
6. Finally, the incision is closed.

4. Qualifying circumstances

CPT 47765 is performed on patients who require the creation of an opening between the biliary ducts outside of the liver and the small intestine. This procedure is typically indicated for conditions that obstruct the normal flow of bile, such as tumors or strictures. It is important to note that this procedure is performed by a healthcare provider and requires appropriate prepping and anesthesia.

5. When to use CPT code 47765

CPT code 47765 should be used when a healthcare provider performs the anastomosis procedure between the intrahepatic ducts and the gastrointestinal tract. It is important to ensure that the procedure meets the specific criteria outlined in the official description.

6. Documentation requirements

To support a claim for CPT 47765, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the anastomosis procedure
• Details of the procedure, including the specific structures involved
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 47765, ensure that the procedure meets the specific criteria outlined in the official description. It is important to follow the appropriate coding guidelines and modifiers, if applicable. Additionally, consider any specific billing requirements from insurance providers or government payers.

8. Historical information

CPT 47765 was added to the Current Procedural Terminology system on January 1, 1990. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A patient with a biliary stricture undergoes an anastomosis procedure to connect the intrahepatic ducts to the gastrointestinal tract.
2. A healthcare provider performs an anastomosis between the biliary ducts and the small intestine in a patient with a bile duct tumor.
3. An individual with a congenital biliary anomaly undergoes an anastomosis procedure to establish proper bile flow.
4. A patient with a history of biliary surgery requires a revision anastomosis to address complications.
5. A healthcare provider performs an anastomosis procedure to treat a patient with a bile leak following a previous surgery.
6. A patient with a biliary stricture undergoes an anastomosis procedure to restore normal bile flow.
7. An individual with a history of bile duct injury requires an anastomosis procedure to reconstruct the biliary system.
8. A healthcare provider performs an anastomosis between the intrahepatic ducts and the gastrointestinal tract in a patient with a choledochal cyst.
9. A patient with a bile duct obstruction undergoes an anastomosis procedure to bypass the obstruction and restore bile flow.
10. An individual with a history of bile duct injury requires an anastomosis procedure to reconstruct the biliary system.