Fluorescence Imaging of Hepatobiliary System

The patient presents for robotic cholecystectomy with Firefly™ indocyanine green (ICG) cholangiogram. Firefly™ ICG imaging uses infrared technology. How would the intraoperative cholangiogram using infrared imaging with ICG dye be coded? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a change in ICD-10-PCS imaging classification for hepatobiliary system and pancreas procedures, focusing on fluorescence imaging with indocyanine green dye. It is relevant to coding professionals, CDI staff, and surgical coders who work with hepatobiliary imaging and cholecystectomy documentation. The article covers the updated imaging table structure, the anatomical and contrast-related components involved, and a coding example involving intraoperative fluorescence imaging technology.

Why This Topic Matters

It helps readers understand a new ICD-10-PCS imaging table entry and the broader context for documenting fluorescence imaging performed during surgery. This matters for accurate procedure coding and for distinguishing imaging from the primary operative procedure.

What You Will Learn

  • What changed in the ICD-10-PCS imaging section for hepatobiliary system and pancreas cases
  • How fluorescence imaging is discussed in the context of intraoperative surgical documentation
  • What general type of documentation is involved in coding hepatobiliary fluorescence imaging cases
  • How the article frames the relationship between imaging and the associated surgical procedure

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation improvement specialists
  • Revenue cycle staff
  • Surgical coding professionals

Codes Discussed


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