tci General Surgery Coding Alert - 2014 Issue 9

Reader Question: Avoid C9733 for Physician Billing

Question: During a laparoscopic cholecystectomy, our surgeon performs an injection of fluorescent dye (indocyanine green) to identify biliary anatomy. Can the surgeon bill separately for the injection, and if so, should we use C9733?  SuperCoder Subscriber Answer: You should not report the surgeon’s injection to visualize biliary anatomy using C9733 (Non-ophthalmic fluorescent vascular angiography). That code is for vascular angiography, and the biliary tree is definitely not vascular. Also, the HCPCS Level II “C” codes are for hospital outpatient billing, so you shouldn’t use C9733 or other C codes for physician billing. There is not...

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