tci General Surgery Coding Alert - 2004 Issue 2

Are You Getting All the Payment You've Earned for Cholecystectomy?

Hint: Check for complications, open procedures Although reporting cholecystectomy is usually straightforward, you might be missing circumstances that warrant additional payment. If you are able to recognize such circumstances (such as unusually complicated surgeries or laparascopic-to-open conversions), our experts say, you can make the most of your coding and ensure the surgeon gets the reimbursement he or she deserves for the work performed. Call on Modifier -22 for Unusually Difficult Procedures On occasion, the surgeon will encounter unusual difficulties when performing a cholecystectomy. This can occur, for example, if the surgeon must  perform extensive lysis of adhesions;   remove...

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