tci General Surgery Coding Alert - 2000 Issue 6

Get Paid for Add-on Liver Biopsies With Separate Diagnosis Code

Many general surgeons have problems getting paid for percutaneous liver biopsies performed at the same time as other abdominal procedures. Although some coders attribute the denials to an undisclosed black box edit, the actual reason more likely is the diagnosis code used to justify the procedure.The CPT manual contains three codes for liver biopsy. Of these, 47000 (biopsy of liver, needle; percutaneous) and 47100 (biopsy of liver, wedge) should be used when no other abdominal procedure has been performed. Code 47001 (biopsy of liver, needle; percutaneous, when done for indicated purpose at time of other major procedure [list...

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