tci General Surgery Coding Alert - 2010 Issue 7

You Be the Coder: Identify Tru-Cut Method to Select Proper Code

Question: The op note states Tru-Cut liver biopsy. Is this a laparoscopic, percutaneous, or wedge biopsy, and how should I code it?Ohio SubscriberAnswer: A Tru-Cut biopsy is a percutaneous needle biopsy. The correct code in your case is 47000 (Biopsy of liver, needle; percutaneous) or +47001 (... when done for indicated purpose at time of other major procedure [list separately in addition to code for primary procedure]).Check for stand alone: Choosing the correct code for this procedure requires that you determine if the surgeon performed the biopsy as the only surgical procedure at the encounter (47000) or...

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