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AHA Coding Clinic® for HCPCS - 2023 Issue 2; Clarification

Clarification

Coding Clinic for HCPCS First Quarter 2022, pages 9-10, advised to report CPT code 47563, Laparoscopy, surgical; cholecystectomy with cholangiography, for a laparoscopic cholecystectomy with intraoperative fluorescence imaging using indocyanine green (ICG) dye. Research indicates that an intraoperative cholangiogram (IOC) requires insertion of a cholangiocatheter into the cystic duct with direct injection of radiographic contrast. However, in the published example, cholangiocatheter insertion into the cystic duct with injection of radiographic contrast was not documented. We believe imaging with ICG dye is not analogous to an IOC. We are asking Coding Clinic for HCPCS to revisit this advice. ...

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