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Image-Guided Biliary/Pancreatic Duct Catheter Placement with Retrograde Contrast

Published: August 9, 2026Updated: August 16, 2026

An image-guided procedure places a catheter in a bile or pancreatic duct and uses contrast to evaluate the duct system and confirm catheter position.

Quick summary

["This procedure uses imaging and contrast to evaluate or drain the bile or pancreatic ducts and guide catheter placement."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
30892-4
Short code
RF Guided BD+PD Cath place W contr Retro
Synonyms
RF Guided BD+PD Cath place W contr Retro
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
rf
CPT
86430
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is an image-guided procedure in which a catheter is placed in a bile duct or pancreatic duct. Contrast material is introduced through the catheter in a backward, or retrograde, direction to outline the duct system and check the catheter's position.

Why might I need this test?

The procedure may be performed to investigate blocked or narrowed bile or pancreatic ducts, assess a leak, or allow drainage of fluid from the affected area. It may also be used to guide treatment of stones, strictures, or other duct abnormalities.

How is the test performed?

A trained specialist uses real-time imaging to guide the catheter into the selected duct. Contrast is then introduced through the catheter so the duct can be seen on images. The catheter may be left in place for drainage, depending on the reason for the procedure.

How do I prepare for the test?

Follow the care team's instructions about fasting and medications. Tell the team about any prior contrast reaction, kidney disease, pregnancy, bleeding disorders, or use of blood thinners before the procedure. Sedation may be used, so arrange transportation home if instructed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Images from the procedure can show narrowing, blockage, stones, leaks, or other abnormalities of the bile or pancreatic ducts. A catheter that drains poorly or contrast that does not move through the duct normally may indicate an obstruction or a need for catheter repositioning. The findings should be interpreted together with symptoms, prior tests, and the procedure report.

Short name

Biliary/Pancreatic Duct Catheter Placement

Frequently asked questions

What does retrograde contrast mean?
It means contrast is sent through the catheter in the direction opposite the normal flow of fluid within the duct. This helps outline the duct and verify the catheter's position.
Is the contrast the same as a contrast used in a CT scan?
It is used to create images of the ducts, but the exact type and amount may differ from a CT or MRI contrast study. The care team can explain the specific contrast planned for the procedure.
Will the catheter remain in place?
It may be left temporarily or longer if drainage is needed. Whether it is removed immediately or kept in place depends on the procedure's purpose and the specialist's assessment.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy