AMA CPT® Assistant - 2014 Issue 9 (September)
Surgery: Digestive System (Q&A) (September 2014)
September 2014 page 14 Surgery: Digestive System Question: Can CPT code 47120, Hepatectomy, resection of liver; partial lobectomy, be reported multiple times if a surgeon documents wedge resections of three lesions in two or more lobes but does not perform a trisegmentectomy? Answer: Yes. It would be appropriate to report CPT code 47120 for the first resection. Additional resections would be reported using code 47120 appended with modifier 51, Multiple procedures. Based on payer requirements, modifier 59, Distinct procedural service, may also be required to be appended to the code(s) for any additional procedure(s) provided. Check with the appropriate...
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Article Overview
This article presents a coding question-and-answer focused on a digestive system surgery scenario discussed in CPT Assistant. It is aimed at coders, billers, and auditors who work with surgical CPT reporting and payer policy considerations, especially when multiple procedures are involved.
Why This Topic Matters
It helps readers understand the type of CPT reporting guidance discussed for liver surgery scenarios and highlights that payer policies may affect how additional procedures are reported.
Article Sections
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September 2014 page 14
A dated Q&A section from CPT Assistant covering a surgical coding scenario in the digestive system specialty.
What You Will Learn
- The article’s general focus within digestive system surgery coding
- How the Q&A format frames a surgical reporting question
- That payer policy considerations are part of the discussion
- How modifier use is presented in the context of multiple procedures
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Physician practice staff
Codes Discussed
Modifiers Discussed
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