I’m in need of some assistance withe coding the below report. It has me a little confused due to the scope only went to the duodenum, but the report also states "Papillotome was used for cannulation and a cholangiogram was obtained and showed no filling defects". I’m thinking 43247 and not sure on the cannulation. :confused: Any assistance would be great!

PROCEDURE PERFORMED: Endoscopic Retrograde cholangiopancreatography with stent removal.

PREOPERATIVE DIAGNOSIS: Bile leak after laparoscopic cholecystectomy

POSTOPERATIVE DIAGNOSIS: Normal cholangiogram

PROCEDURE: Olympus sided viewing duodenoscope was inserted into the patient’s mouth and advanced down to the descending duodenum. The stent was noted to be protruding the ampulla. A snare was placed through the endoscope and the tip of the stent was grasped. The scope was withdrawn, and this pilled the stent up through the patient’s esophagus and out the patient’s mouth. The scope was then reintroduced back into the descending duodenum. Papillotome was used for cannulation and a cholangiogram was obtained and showed no filling defects. The common bile duct appeared normal in caliber. There was no evidence of any bile leak. The scope was removed and no immediate postprocedure complications.

Thanks in advance for any help!!