tci General Surgery Coding Alert - 2017 Issue 12

CPT® 2018: Upgrade Laparoscopic Esophagectomy Coding Next Year

Look for op note details to choose the right code. If you've been turning to the same unlisted code every time your surgeon performed a laparoscopic or thoracoscopic esophagectomy, your coding choices just expanded greatly and got far more specific. That's because CPT® 2018 adds three new codes to describe esophagectomy using thoracoscopic and/or laparoscopic esophageal mobilization, with distinct codes describing different anatomic approaches. Grasp Esophagectomy Complexity Used primarily to treat esophageal cancer, traditional open esophagectomy procedures are typically very complex, invasive surgeries that use various incisions and approaches. For instance, the Ivor Lewis procedure involves two primary incisions...

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