tci General Surgery Coding Alert - 2005 Issue 8

Reader Questions: Separate Incision May Allow for Hernia Reimbursement

Question: The surgeon performed diagnostic laparoscopy with lysis of adhesions, followed by laparoscopic cholecystectomy, needle liver biopsy and umbilical hernia repair. How should I code this session?Mississippi Subscriber Answer: You can probably report only two codes in this instance: 47562 (Laparoscopy, surgical; cholecystectomy) for the laparoscopic cholecystectomy and +47001 (Biopsy of liver, needle; when done for indicated purpose at time of other major procedure [list separately in addition to code from primary procedure]) for the liver biopsy.You cannot report the diagnostic laparoscopy (49320, Laparoscopy, abdomen, peritoneum and omentum, diagnostic, with or without collection of specimen[s] by brushing...

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