tci General Surgery Coding Alert - 2006 Issue 2

You Be the Coder: What's the Code for Lap Catheter Placement?

Question: How can we report placement of a laparoscopic Tenckhoff dialysis catheter?Oregon SubscriberAnswer: Unfortunately, you won't find a code for laparoscopic catheter placement of this type--at least in part because this is an unusual method to place such a catheter. Therefore, you-ll have to go with unlisted- procedure code 49329 (Unlisted laparoscopy procedure, abdomen, peritoneum and omentum). Filing unlisted-procedure codes always means a bit more work for the coder: You-ll have to include documentation describing the procedure so that the insurer can make a payment determination. One effective method is to compare the procedure you are billing to...

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