tci General Surgery Coding Alert - 2017 Issue 1

Reader Question: Capture Cholecystectomy 'Extras'

Question: A surgeon in our practice performed a laparoscopic cholecystectomy. Although the “procedure” statement in the op report simply states “laparoscopic cholecys­tectomy,” the body of the report also documents a radiological examination of bile ducts, as well as exploration and removal of gallstones from the common duct. How should I code this procedure? New York Subscriber Answer: The correct code is 47564 (Laparoscopy, surgical; cholecystectomy with exploration of common duct). Avoid: Although your surgeon documented that the lap chol included both a cholangiography and exploration of the common duct to remove gallstones, you should report...

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