AHA Coding Clinic® for HCPCS - 2021 Issue 4; Ask the Editor

Laparoscopic ultrasound of the biliary tree

A patient with acute cholecystitis was taken to the operating room for a laparoscopic cholecystectomy. After the trocars were placed, the ultrasound probe was introduced through a port and examination of the biliary tree was performed showing no evidence of intraductal calculi. Following the ultrasound, the gallbladder was resected and placed in an EndoCatch bag. How is a laparoscopic ultrasound examination of the biliary tree coded? Is it reported separately with CPT code 47579, Unlisted laparoscopy procedure, biliary tract? Or is the ultrasound inherent to the cholecystectomy? ...

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