AMA CPT® Assistant - 2019 Issue 3 (March)

Surgery: Digestive System (Q&A) (March 2019)

March 2019 page 10c Surgery: Digestive System Question: A laparoscopic cholecystectomy with cholangiogram (47563) is performed because of a gallbladder perforation. During the operation, a large subphrenic abscess under the right diaphragm with a fibrinous rind was discovered. The abscess was drained and cultures were obtained. Is it appropriate to separately report code 49329 for the abscess drainage because it is completely unrelated to the cholecystectomy? Answer: No, it would not be appropriate to separately report code 49329, Unlisted laparoscopy procedure, abdomen, peritoneum and omentum. Code 47563, Laparoscopy, surgical; cholecystectomy with cholangiography, should be reported with modifier 22, Increased...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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