CPT® Code 47425

Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty

The procedure described by CPT® Code 47425 involves a surgical intervention known as choledochotomy or choledochostomy, which is performed to address issues within the biliary system, particularly concerning the common bile duct. This procedure is typically indicated for patients suffering from acute cholecystitis, especially those who are critically ill and unable to undergo more definitive surgical treatments, such as cholecystectomy. During the procedure, an incision is made in the common bile duct to allow for exploration, drainage, or removal of calculi (stones) that may be obstructing the bile flow. The surgical approach may also include a cholecystotomy, which involves making an incision in the gallbladder to decompress it and remove any stones present. The procedure may be further complicated by the need for transduodenal sphincterotomy or sphincteroplasty, which involves accessing the duodenum to facilitate the removal of stones from the bile duct. The overall goal of this surgical intervention is to relieve biliary obstruction, restore bile flow, and prevent further complications associated with gallstones and biliary disease.